Provider Demographics
NPI:1477357309
Name:BURRELL, SHEKINA TAMIL (BS)
Entity type:Individual
Prefix:
First Name:SHEKINA
Middle Name:TAMIL
Last Name:BURRELL
Suffix:
Gender:
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 TALL GRASS LN UNIT 204
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-4720
Mailing Address - Country:US
Mailing Address - Phone:646-629-5626
Mailing Address - Fax:646-629-5626
Practice Address - Street 1:2006 TALL GRASS LN UNIT 204
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-4720
Practice Address - Country:US
Practice Address - Phone:646-629-5626
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional