Provider Demographics
NPI:1821596545
Name:HEILMAN, SHEILA JEAN (MA, LMHC, LPC)
Entity Type:Individual
Prefix:MS
First Name:SHEILA
Middle Name:JEAN
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:MA, LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2348 GLENFINNAN DR
Mailing Address - Street 2:
Mailing Address - City:ORANGE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32073-4200
Mailing Address - Country:US
Mailing Address - Phone:904-272-7614
Mailing Address - Fax:
Practice Address - Street 1:2348 GLENFINNAN DR
Practice Address - Street 2:
Practice Address - City:ORANGE PARK
Practice Address - State:FL
Practice Address - Zip Code:32073-4200
Practice Address - Country:US
Practice Address - Phone:904-272-7614
Practice Address - Fax:904-272-7614
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-28
Last Update Date:2018-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health