Provider Demographics
NPI:1437041100
Name:KEARNEY, SHEILA MAE (LPC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:MAE
Last Name:KEARNEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:DR
Other - First Name:SHEILA
Other - Middle Name:MAE
Other - Last Name:KEARNEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:EDD, EDM, MED
Mailing Address - Street 1:214 BURNT PLAINS RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06461-2248
Mailing Address - Country:US
Mailing Address - Phone:203-767-3838
Mailing Address - Fax:
Practice Address - Street 1:214 BURNT PLAINS RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06461-2248
Practice Address - Country:US
Practice Address - Phone:203-767-3838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty