Provider Demographics
NPI:1487650057
Name:KELLEY, SHEILA L (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:L
Last Name:KELLEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 S GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:CLEONA
Mailing Address - State:PA
Mailing Address - Zip Code:17042-2309
Mailing Address - Country:US
Mailing Address - Phone:717-273-1249
Mailing Address - Fax:
Practice Address - Street 1:4788 UNION DEPOSIT RD
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17111-3729
Practice Address - Country:US
Practice Address - Phone:717-813-9486
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-28
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC 003437101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional