Provider Demographics
NPI:1568533347
Name:HEIL, SHARON DENISE (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:DENISE
Last Name:HEIL
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 1:568 BUSHKILL CENTER RD
Mailing Address - Street 2:
Mailing Address - City:NAZARETH
Mailing Address - State:PA
Mailing Address - Zip Code:18064-9537
Mailing Address - Country:US
Mailing Address - Phone:610-984-7949
Mailing Address - Fax:
Practice Address - Street 1:150 PINE ST
Practice Address - Street 2:
Practice Address - City:TAMAQUA
Practice Address - State:PA
Practice Address - Zip Code:18252-1409
Practice Address - Country:US
Practice Address - Phone:610-984-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004178101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor