Provider Demographics
NPI:1962919191
Name:SHEEHAN, EMILY (LMHC)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:SHEEHAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 N ELLWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-2543
Mailing Address - Country:US
Mailing Address - Phone:716-909-5635
Mailing Address - Fax:
Practice Address - Street 1:50 N ELLWOOD AVE
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-2543
Practice Address - Country:US
Practice Address - Phone:716-909-5635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-09
Last Update Date:2018-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008104-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health