Provider Demographics
NPI:1952935967
Name:SHEKINAH COUNSELING AND CONSULTING LLC
Entity type:Organization
Organization Name:SHEKINAH COUNSELING AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRIE-ANNA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:WILLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:941-807-2670
Mailing Address - Street 1:PO BOX 2063
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34220-2063
Mailing Address - Country:US
Mailing Address - Phone:941-807-2670
Mailing Address - Fax:855-240-3641
Practice Address - Street 1:600 8TH AVE W STE 200
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-5162
Practice Address - Country:US
Practice Address - Phone:941-807-2670
Practice Address - Fax:855-240-3641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty