Provider Demographics
NPI:1790148559
Name:WARD, SHEILA (LCDC)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11014 W BELLFORT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-4761
Mailing Address - Country:US
Mailing Address - Phone:832-564-9698
Mailing Address - Fax:281-341-7207
Practice Address - Street 1:11014 W BELLFORT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-4761
Practice Address - Country:US
Practice Address - Phone:832-564-9698
Practice Address - Fax:281-341-7207
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10537101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)