Provider Demographics
NPI:1619376498
Name:SHEEHAN, MARGARET (LMFT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5412 GLENSIDE DR STE B
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-3995
Mailing Address - Country:US
Mailing Address - Phone:804-741-4300
Mailing Address - Fax:804-741-5300
Practice Address - Street 1:5412 GLENSIDE DR STE B
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23228-3995
Practice Address - Country:US
Practice Address - Phone:804-741-4300
Practice Address - Fax:804-741-5300
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717001291106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0717001291OtherLICENSED MARRIAGE AND FAMILY THERAPIST