Provider Demographics
NPI:1083391585
Name:SHEIKHAI, SHEBA (LCPAT, LCPC)
Entity Type:Individual
Prefix:
First Name:SHEBA
Middle Name:
Last Name:SHEIKHAI
Suffix:
Gender:F
Credentials:LCPAT, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 EUTAW PL STE F
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-3641
Mailing Address - Country:US
Mailing Address - Phone:724-990-0301
Mailing Address - Fax:
Practice Address - Street 1:1505 EUTAW PL STE F
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-3641
Practice Address - Country:US
Practice Address - Phone:724-990-0301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC12378101Y00000X
MDATC312221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor