Provider Demographics
NPI:1487960381
Name:MAYSE, SHEILA RENAY
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:RENAY
Last Name:MAYSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:COSHOCTON
Mailing Address - State:OH
Mailing Address - Zip Code:43812-1988
Mailing Address - Country:US
Mailing Address - Phone:407-502-3047
Mailing Address - Fax:
Practice Address - Street 1:777 S 2ND ST
Practice Address - Street 2:
Practice Address - City:COSHOCTON
Practice Address - State:OH
Practice Address - Zip Code:43812-1988
Practice Address - Country:US
Practice Address - Phone:740-502-3047
Practice Address - Fax:614-737-5944
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700077104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker