Provider Demographics
NPI:1659520559
Name:HARSHE, PRAJAKTA SHARAD (LPC, LCADC, SAC)
Entity Type:Individual
Prefix:MISS
First Name:PRAJAKTA
Middle Name:SHARAD
Last Name:HARSHE
Suffix:
Gender:F
Credentials:LPC, LCADC, SAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 S 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-1677
Mailing Address - Country:US
Mailing Address - Phone:609-338-3152
Mailing Address - Fax:609-561-0678
Practice Address - Street 1:5 S 3RD ST
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-1677
Practice Address - Country:US
Practice Address - Phone:609-338-3152
Practice Address - Fax:609-561-0678
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2022-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01022200163WP0808X
NJ37P00308100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty