Provider Demographics
NPI:1336485358
Name:MOUNTS, SHEILA ANN (LMSW,)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:ANN
Last Name:MOUNTS
Suffix:
Gender:F
Credentials:LMSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30685 BARRINGTON ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MADISON HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48071-5111
Mailing Address - Country:US
Mailing Address - Phone:248-414-4080
Mailing Address - Fax:248-414-4085
Practice Address - Street 1:30685 BARRINGTON ST
Practice Address - Street 2:SUITE 140
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5111
Practice Address - Country:US
Practice Address - Phone:248-414-4080
Practice Address - Fax:248-414-4085
Is Sole Proprietor?:No
Enumeration Date:2012-12-19
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIL17781361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical