Provider Demographics
NPI:1386115533
Name:DESAI, NIPA (LPC)
Entity type:Individual
Prefix:
First Name:NIPA
Middle Name:
Last Name:DESAI
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 SOUTH ST # 1073
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19147-2023
Mailing Address - Country:US
Mailing Address - Phone:267-417-6083
Mailing Address - Fax:
Practice Address - Street 1:744 SOUTH ST # 1073
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19147-2023
Practice Address - Country:US
Practice Address - Phone:267-417-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC010931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health