Provider Demographics
NPI:1871864793
Name:ARIAS SHAH, MELISSA (PHD LMFT)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:
Last Name:ARIAS SHAH
Suffix:
Gender:F
Credentials:PHD LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11290 HERON BAY BLVD APT 2023
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33076-1624
Mailing Address - Country:US
Mailing Address - Phone:305-726-5691
Mailing Address - Fax:
Practice Address - Street 1:450 W 42ND ST APT 40A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10036-6881
Practice Address - Country:US
Practice Address - Phone:305-962-5147
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2020-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2586106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist