Provider Demographics
NPI:1548675390
Name:TRABELSI, SHEILA RAE (LPC, LAC, MED)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:RAE
Last Name:TRABELSI
Suffix:
Gender:F
Credentials:LPC, LAC, MED
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:RAE
Other - Last Name:HENDRICKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:446 E 29TH ST # 1792
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2762
Mailing Address - Country:US
Mailing Address - Phone:970-344-9177
Mailing Address - Fax:
Practice Address - Street 1:345 WRYBILL AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6582
Practice Address - Country:US
Practice Address - Phone:970-344-9177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACD.0001162101YA0400X
CO11614101YM0800X
COLPC.0011614101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health