Individual provider · Type 1 NPI

Shantal Bishop

Mental Health Counselor · Roosevelt, NY

NPI number 1730002643 Active

Practice location

80 Whitehouse Ave
Roosevelt, NY 11575-1324

Call (516) 309-1675 Map

Fax (516) 223-3840

Mailing address

1019 Van Siclen Ave Apt 4F
Brooklyn, NY 11207-9034

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XP144802 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1730002643

Shantal Bishop's National Provider Identifier is 1730002643, issued on Jul 30, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roosevelt, NY. The record was last updated on Jul 30, 2026.