MEDICARE: MS. SHARON L. HEATH LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	180.007869	IL
2	101YP2500X	Professional Counselor	180.007869	IL

General Provider Information

NPI Number	:	1225436272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON L. HEATH LCPC

Provider Business Mailing Address
First Line	:	1555 NAPERVILLE WHEATON RD STE 206H
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1558
Country	:	US
Telephone Number	:	331-229-9202
Fax Number	:	630-536-8185

Provider Business Practice Location Address
First Line	:	1555 NAPERVILLE WHEATON RD.
Second Line	:	SUITE 206H
City	:	NAPERVILLE
State	:	IL
Zip	:	60563-1558
Country	:	US
Telephone Number	:	331-229-9202
Fax Number	:	630-536-8185

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2014
Last Update Date	:	01/03/2024

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