Healthcare Provider Details

I. General information

NPI: 1851211965
Provider Name (Legal Business Name): LISAMARIE SHEHU LPC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LISA SHEHU LPC-A

II. Dates (important events)

Enumeration Date: 07/18/2026
Last Update Date: 07/18/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 W MAIN ST
CHESHIRE CT
06410-2414
US

IV. Provider business mailing address

95 SABAL DR
WATERBURY CT
06708-2167
US

V. Phone/Fax

Practice location:
  • Phone: 475-439-9639
  • Fax:
Mailing address:
  • Phone: 475-439-9639
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8949
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: