Provider Demographics
NPI:1144656513
Name:SHAKIR, ASHANTI (LMFT)
Entity type:Individual
Prefix:MS
First Name:ASHANTI
Middle Name:
Last Name:SHAKIR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9861 MERCER ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89141-8758
Mailing Address - Country:US
Mailing Address - Phone:702-426-0213
Mailing Address - Fax:
Practice Address - Street 1:9861 MERCER ESTATES CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89141-8758
Practice Address - Country:US
Practice Address - Phone:702-861-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVMFT01383106H00000X
GAMFT001511106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV106H00000XMedicaid