Provider Demographics
NPI:1093002883
Name:OSBORNE-SHEELER, GLORIA (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:
Last Name:OSBORNE-SHEELER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 E SANTA ANITA AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-2922
Mailing Address - Country:US
Mailing Address - Phone:310-933-7627
Mailing Address - Fax:
Practice Address - Street 1:221 N 3RD ST # 359
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1202
Practice Address - Country:US
Practice Address - Phone:310-933-7627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-30
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health