Healthcare Provider Details

I. General information

NPI: 1922933258
Provider Name (Legal Business Name): SHEILIA CHEEK MSED/LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 LICKSKILLET RD
WARRENTON NC
27589-9080
US

IV. Provider business mailing address

1897 LICKSKILLET RD
WARRENTON NC
27589-9080
US

V. Phone/Fax

Practice location:
  • Phone: 919-685-5642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number24454
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: