Provider Demographics
NPI:1891672283
Name:PRASAI, KSHITIJ
Entity type:Individual
Prefix:
First Name:KSHITIJ
Middle Name:
Last Name:PRASAI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2022 UNIVERSITY HEIGHTS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4071
Mailing Address - Country:US
Mailing Address - Phone:857-340-9384
Mailing Address - Fax:185-734-0938
Practice Address - Street 1:2022 UNIVERSITY HEIGHTS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4071
Practice Address - Country:US
Practice Address - Phone:857-340-9384
Practice Address - Fax:185-734-0938
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-19
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health