Provider Demographics
NPI:1821417171
Name:WEEHUNT, SHIELA KAY (LPCC)
Entity Type:Individual
Prefix:MS
First Name:SHIELA
Middle Name:KAY
Last Name:WEEHUNT
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:
Mailing Address - City:LA LUZ
Mailing Address - State:NM
Mailing Address - Zip Code:88337-0148
Mailing Address - Country:US
Mailing Address - Phone:575-430-4804
Mailing Address - Fax:575-439-9701
Practice Address - Street 1:2474 INDIAN WELLS RD
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-3845
Practice Address - Country:US
Practice Address - Phone:575-430-4804
Practice Address - Fax:575-439-9701
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0184131101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM18677037Medicaid