Healthcare Provider Details

I. General information

NPI: 1598146011
Provider Name (Legal Business Name): SHEILA GUZEK LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 06/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 N MAIN AVE
ALBANY NY
12206-1821
US

IV. Provider business mailing address

160 N MAIN AVE
ALBANY NY
12206-1821
US

V. Phone/Fax

Practice location:
  • Phone: 518-437-6500
  • Fax: 518-437-6565
Mailing address:
  • Phone: 518-437-6500
  • Fax: 518-437-6565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number001581-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: