Provider Demographics
NPI:1295305837
Name:WHITEHEAD, SHEKEILA MONIQUE (LPCC)
Entity type:Individual
Prefix:
First Name:SHEKEILA
Middle Name:MONIQUE
Last Name:WHITEHEAD
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 1:6254 CORTNEY LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1998
Mailing Address - Country:US
Mailing Address - Phone:330-814-5578
Mailing Address - Fax:
Practice Address - Street 1:6254 CORTNEY LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1998
Practice Address - Country:US
Practice Address - Phone:614-721-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-27
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2404315101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health