Provider Demographics
NPI:1891452231
Name:SHIFA THERAPY LLC
Entity Type:Organization
Organization Name:SHIFA THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER AND PSYCHOTHERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:SHALIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCADC, NCC
Authorized Official - Phone:551-325-4715
Mailing Address - Street 1:725 RIVER ROAD, SUITE 32
Mailing Address - Street 2:#156
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020
Mailing Address - Country:US
Mailing Address - Phone:551-325-4715
Mailing Address - Fax:
Practice Address - Street 1:725 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:EDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:07020-1149
Practice Address - Country:US
Practice Address - Phone:551-325-4715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty