Provider Demographics
NPI:1659729838
Name:HARRIS-FITZPATRICK, SHEILA (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:
Last Name:HARRIS-FITZPATRICK
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 ANDY DR
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-2303
Mailing Address - Country:US
Mailing Address - Phone:773-304-4999
Mailing Address - Fax:847-556-1488
Practice Address - Street 1:1515 N HARLEM AVE
Practice Address - Street 2:SUITE 302
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1250
Practice Address - Country:US
Practice Address - Phone:888-780-0006
Practice Address - Fax:847-556-1488
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-29
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178008806101YP2500X
IL180.010443101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional