| Shohen Therapy | |
|
13 Ponderosa Trl Sparta NJ 07871-3229 | |
| (201) 452-9586 | |
| Not Available |
| Full Name | Shohen Therapy |
|---|---|
| Speciality | Counselor |
| Location | 13 Ponderosa Trl, Sparta, New Jersey |
| Authorized Official Name and Position | Lisa Ann Shohen (CEO/OWNER) |
| Authorized Official Contact | 2014529586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shohen Therapy 13 Ponderosa Trl Sparta NJ 07871-3229 Ph: (201) 452-9586 | Shohen Therapy 13 Ponderosa Trl Sparta NJ 07871-3229 Ph: (201) 452-9586 |
| NPI Number | 1386443331 |
|---|---|
| Provider Enumeration Date | 03/12/2025 |
| Last Update Date | 03/12/2025 |
| Certification Date | 03/12/2025 |
| Medicare PECOS PAC ID | 2860914835 |
|---|---|
| Medicare Enrollment ID | O20250319001810 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386443331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Shohen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639862568 PECOS PAC ID: 3779005749 Enrollment ID: I20250319001950 |
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