Provider Demographics
NPI:1184496507
Name:SEEN AND HEARD INDIVIDUAL AND FAMILY THERAPY LLC (SHIFT LLC)
Entity type:Organization
Organization Name:SEEN AND HEARD INDIVIDUAL AND FAMILY THERAPY LLC (SHIFT LLC)
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRACTITIONER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:COREEN
Authorized Official - Last Name:SHELDON
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, NIC, RYT250
Authorized Official - Phone:952-567-1079
Mailing Address - Street 1:1019 N 59TH AVE W
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55807-1233
Mailing Address - Country:US
Mailing Address - Phone:952-567-1079
Mailing Address - Fax:
Practice Address - Street 1:1019 N 59TH AVE W
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55807-1233
Practice Address - Country:US
Practice Address - Phone:952-567-1079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty