MEDICARE: SAMERA SHEIKH LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC006454	GA

General Provider Information

NPI Number	:	1164702726
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMERA SHEIKH LPC

Provider Business Mailing Address
First Line	:	3334 PEACHTREE RD NE
Second Line	:	UNIT 1411
City	:	ATLANTA
State	:	GA
Zip	:	30326-6801
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3334 PEACHTREE RD NE
Second Line	:	UNIT 1411
City	:	ATLANTA
State	:	GA
Zip	:	30326-6801
Country	:	US
Telephone Number	:	404-271-9495
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2011
Last Update Date	:	08/26/2011

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