NPI | 1326135104 |
---|---|
Former Legal Business Name | SHEEHAN COUNSELING CENTER, P.A. |
Entity Type | Organization |
Authorized Contact | CLYDE ALEXANDER SHEEHAN President 662-844-4364 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: MS 13618) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: MS 13618) | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2006-10-05 |
Last Update Date | 2025-06-13 |