Provider Demographics
NPI:1750788691
Name:SOSLOW, SHEILA (LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:SOSLOW
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:917 CAROUSEL DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-3374
Mailing Address - Country:US
Mailing Address - Phone:214-494-6287
Mailing Address - Fax:817-385-6699
Practice Address - Street 1:5910 PAIGE RD STE D
Practice Address - Street 2:
Practice Address - City:THE COLONY
Practice Address - State:TX
Practice Address - Zip Code:75056-2143
Practice Address - Country:US
Practice Address - Phone:214-494-6287
Practice Address - Fax:817-385-6699
Is Sole Proprietor?:No
Enumeration Date:2014-11-20
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18143101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional