Wilson, Sheilah M.
Wilson, Sheilah M. is an individual health care provider with primary practice located at 617 N Humphreys St Suite 101, Flagstaff AZ 86001-3063. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Wilson, Sheilah M. can be contacted via phone (928) 779-3783.Contact Information
Primary practice address
617 N Humphreys St Suite 101
Flagstaff AZ 86001-3063
Phone: (928) 779-3783
Fax: (928) 773-1150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | NCC-75942 | Arizona |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LISAC-10648 | Arizona |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC-10984 | Arizona |
Profile Details
NPI number | 1225193790 |
---|---|
LBN Legal business name | Wilson, Sheilah M. |
Credentials | LPC, LISAC, NCC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 26th, 2006 |
Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1225193790 | NPPES |
Arizona | Other | 7046676 | AETNA |
Arizona | MEDICAID | 864638 | AETNA |
Arizona | Other | 569518 | AETNA |
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