Provider Demographics
NPI:1275762015
Name:HABER, SHEILA R (LMHP)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:R
Last Name:HABER
Suffix:
Gender:F
Credentials:LMHP
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 314
Mailing Address - Street 2:
Mailing Address - City:HURLEYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12747-0314
Mailing Address - Country:US
Mailing Address - Phone:845-434-0196
Mailing Address - Fax:
Practice Address - Street 1:51 LITTLE POND ROAD
Practice Address - Street 2:
Practice Address - City:HURLEYVILLE
Practice Address - State:NY
Practice Address - Zip Code:12747
Practice Address - Country:US
Practice Address - Phone:845-434-0196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2009-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001101-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health