SHAHROKH SHAFAIE PLPC
NPI 1154457406
Counselor - Professional in Sikeston, MO
Active since February 23, 2007
About Shahrokh Shafaie Plpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAHROKH SHAFAIE PLPC (NPI 1154457406) is an individual professional provider in Sikeston, Missouri, licensed in Missouri (2006016463) and active in the NPI registry since February 2007.
NPPES Registry Identity
NPI1154457406
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSHAHROKH SHAFAIECredential: PLPC
Location Address760 PLANTATION BLVDSikeston, MO 63801-5736
Mailing Address2016 Andrew DrCape Girardeau, MO 63701-1804 · (573) 471-0800 · Fax (573) 471-0810
Phone(573) 471-0800
Fax(573) 471-0810
Sole ProprietorNo
Enumeration DateFebruary 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1154457406 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2006016463
760 PLANTATION BLVD, Sikeston, MO 63801
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154457406, enumerated as an "individual" on February 23, 2007.
The provider is located at 760 PLANTATION BLVD SIKESTON, MO 63801 and the phone number is (573) 471-0800.
Counselor with taxonomy code 101YP2500X and a focus in Professional.