# DHARA SHAH, MENTAL HEALTH COUNSELING P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558921668
- **Authorized official:** DHARA SHAH (OWNER)
- **Authorized official phone:** (973) 870-1972

## Contact information

- **Practice address:** 110 N OCEAN AVE, PATCHOGUE, NY 11772-2015
- **Practice address phone:** (973) 870-1972
- **Mailing address:** 5 BROWN PL, RONKONKOMA, NY 11779-5254
- **Mailing address phone:** (973) 870-1972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/20/2019
- **Last updated:** 06/20/2019