Provider Demographics
NPI:1386443331
Name:SHOHEN THERAPY
Entity type:Organization
Organization Name:SHOHEN THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SHOHEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:201-452-9586
Mailing Address - Street 1:13 PONDEROSA TRL
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3229
Mailing Address - Country:US
Mailing Address - Phone:201-452-9586
Mailing Address - Fax:973-288-2185
Practice Address - Street 1:13 PONDEROSA TRL
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3229
Practice Address - Country:US
Practice Address - Phone:201-452-9586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty