Provider Demographics
NPI:1578759932
Name:SHETH, PRIYA (MA, LCHMHC, NCC)
Entity Type:Individual
Prefix:
First Name:PRIYA
Middle Name:
Last Name:SHETH
Suffix:
Gender:F
Credentials:MA, LCHMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 KILDAIRE FARM RD STE 200
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4587
Mailing Address - Country:US
Mailing Address - Phone:919-917-3171
Mailing Address - Fax:
Practice Address - Street 1:103 KILMAYNE DR STE C
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4425
Practice Address - Country:US
Practice Address - Phone:919-917-3171
Practice Address - Fax:919-650-3350
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-19
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6698101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health