Provider Demographics
NPI:1184742546
Name:WEBER, SHEENAH MARIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHEENAH
Middle Name:MARIE
Last Name:WEBER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:SHEENAH
Other - Middle Name:MARIE
Other - Last Name:HEIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 707001
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74170-7001
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:6655 S YALE AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3326
Practice Address - Country:US
Practice Address - Phone:918-491-3700
Practice Address - Fax:918-237-6754
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1693101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK2136752OtherCIGNA BEHAVIORAL HEALTH