Provider Demographics
NPI:1255877494
Name:PREWITT, SHEILA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PREWITT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 BOULDER HWY
Mailing Address - Street 2:APT 1028
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89122-7462
Mailing Address - Country:US
Mailing Address - Phone:470-535-5560
Mailing Address - Fax:
Practice Address - Street 1:6275 BOULDER HWY
Practice Address - Street 2:APT 1028
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89122-7462
Practice Address - Country:US
Practice Address - Phone:470-535-5560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical