Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marlisa Monae Shaw

Individual provider Professional Counselor · NPI 1053104802

Marlisa Monae Shaw is a Professional Counselor in New Haven, Connecticut. Licensed in Connecticut. Registered with an NPI since 2025.

Licensed in
CT
In the registry since
2025

Practice location Address checks out

458 Grand Ave
New Haven, CT 06513-3856
Phone: (203) 752-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 8405 (CT)

Record details

NPI number1053104802
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 5, 2025

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