Provider Demographics
NPI:1598787731
Name:LEVINE, SHEILA (LMFT, LDAC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:LEVINE
Suffix:
Gender:F
Credentials:LMFT, LDAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 NORTH ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5648
Mailing Address - Country:US
Mailing Address - Phone:203-794-1044
Mailing Address - Fax:203-743-1110
Practice Address - Street 1:72 NORTH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5648
Practice Address - Country:US
Practice Address - Phone:203-794-1044
Practice Address - Fax:203-743-1110
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000549106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist