Provider Demographics
NPI:1154816296
Name:SHEEHAN, BILLY GENE (MA, NCC, LCMHC)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:GENE
Last Name:SHEEHAN
Suffix:
Gender:M
Credentials:MA, NCC, LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1742
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:NC
Mailing Address - Zip Code:28752-1742
Mailing Address - Country:US
Mailing Address - Phone:828-559-7637
Mailing Address - Fax:
Practice Address - Street 1:46 MARQUETTE DR STE 2
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:NC
Practice Address - Zip Code:28752-6680
Practice Address - Country:US
Practice Address - Phone:828-559-7637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14050101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health