Provider Demographics
NPI:1679630214
Name:O'KRESIK, SHEILA KAYE (MA LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:KAYE
Last Name:O'KRESIK
Suffix:
Gender:F
Credentials:MA LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 COHASSETT DRIVE
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148
Mailing Address - Country:US
Mailing Address - Phone:729-346-5220
Mailing Address - Fax:724-346-1433
Practice Address - Street 1:40 COHASSETT DRIVE
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:PA
Practice Address - Zip Code:16148
Practice Address - Country:US
Practice Address - Phone:729-346-5220
Practice Address - Fax:724-346-1433
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
1802803OtherHIGHMARK
373809OtherMHN