Provider Demographics
NPI:1649572462
Name:HEILEMAN, SHARON LYNN (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:HEILEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:3529 MERIDIAN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19136-3530
Mailing Address - Country:US
Mailing Address - Phone:215-356-3643
Mailing Address - Fax:
Practice Address - Street 1:3529 MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19136-3530
Practice Address - Country:US
Practice Address - Phone:215-356-3643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-30
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional