Provider Demographics
NPI:1033533070
Name:SNEED, SHEILA M (LADC)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:M
Last Name:SNEED
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2212
Mailing Address - Country:US
Mailing Address - Phone:203-333-9324
Mailing Address - Fax:
Practice Address - Street 1:203 HIGH ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3250
Practice Address - Country:US
Practice Address - Phone:203-874-6270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-11
Last Update Date:2015-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001033101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)