Healthcare Provider Details

I. General information

NPI: 1083522148
Provider Name (Legal Business Name): SHEILA KHADIJAH HAMEEN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 ARGONNE DR
BALTIMORE MD
21218-1627
US

IV. Provider business mailing address

2306 ELSINORE AVE APT 1
BALTIMORE MD
21216-2152
US

V. Phone/Fax

Practice location:
  • Phone: 443-569-4687
  • Fax:
Mailing address:
  • Phone: 301-233-6975
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC16136
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: