Healthcare Provider Details

I. General information

NPI: 1790271054
Provider Name (Legal Business Name): MIKAELA SHEETS LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2018
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4159 N HOLLAND SYLVANIA RD STE 205
TOLEDO OH
43623-4801
US

IV. Provider business mailing address

4159 N HOLLAND SYLVANIA RD STE 205
TOLEDO OH
43623-4801
US

V. Phone/Fax

Practice location:
  • Phone: 419-517-6564
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC.2204000
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE.2404205-SUPV
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberC.2002907-TRNE
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: