Provider Demographics
NPI:1225436272
Name:HEATH, SHARON L (LCPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:HEATH
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1555 NAPERVILLE WHEATON RD STE 206H
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-1558
Mailing Address - Country:US
Mailing Address - Phone:331-229-9202
Mailing Address - Fax:630-536-8185
Practice Address - Street 1:1555 NAPERVILLE WHEATON RD.
Practice Address - Street 2:SUITE 206H
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-1558
Practice Address - Country:US
Practice Address - Phone:331-229-9202
Practice Address - Fax:630-536-8185
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-08
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007869101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health