Provider Demographics
NPI:1750195111
Name:BROWN, SHEILA LUVENIA
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:LUVENIA
Last Name:BROWN
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 1:38703 N SHERIDAN RD LOT 90
Mailing Address - Street 2:
Mailing Address - City:BEACH PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60099-3956
Mailing Address - Country:US
Mailing Address - Phone:224-440-2613
Mailing Address - Fax:
Practice Address - Street 1:38703 N SHERIDAN RD # OT90
Practice Address - Street 2:
Practice Address - City:BEACH PARK
Practice Address - State:IL
Practice Address - Zip Code:60099-3991
Practice Address - Country:US
Practice Address - Phone:224-440-2613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-05
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)