Provider Demographics
NPI:1801488168
Name:PARRISH, SHEILA (MS, CADC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:PARRISH
Suffix:
Gender:F
Credentials:MS, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 S HARLEM AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-1561
Mailing Address - Country:US
Mailing Address - Phone:630-877-7399
Mailing Address - Fax:
Practice Address - Street 1:2125 S HARLEM AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-1561
Practice Address - Country:US
Practice Address - Phone:630-877-7399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-08
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health