Provider Demographics
NPI:1427373018
Name:SHEINKIN, ELISSA (LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:ELISSA
Middle Name:
Last Name:SHEINKIN
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 SWORD FERN PL
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33414-6517
Mailing Address - Country:US
Mailing Address - Phone:561-676-2994
Mailing Address - Fax:
Practice Address - Street 1:12773 FOREST HILL BLVD STE 214
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:FL
Practice Address - Zip Code:33414-4762
Practice Address - Country:US
Practice Address - Phone:561-676-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-07
Last Update Date:2019-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003374-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health