Provider Demographics
NPI:1679967558
Name:FERGUSON, SHEILA ALEASE (PHD, LPCC)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:ALEASE
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:PHD, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SAFY 20600 CHAGRIN BOULEVARD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122
Mailing Address - Country:US
Mailing Address - Phone:216-295-7239
Mailing Address - Fax:216-295-7240
Practice Address - Street 1:SAFY 20600 CHAGRIN BOULEVARD
Practice Address - Street 2:SUITE 900
Practice Address - City:SHAKER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122
Practice Address - Country:US
Practice Address - Phone:216-295-7239
Practice Address - Fax:216-295-7240
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0000948101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health