Doctor Name: | SHARON RENEE MICHAELS |
NPI Number: | 1013008770 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW,CAP |
License Number: | 3177 |
Business Practice Address: | 2600 Dr Martin Luther King Jr St N Suite 301 St Petersburg, FL - 337042744 |
Business Phone Number: | 7272788375 |
Business Fax Number: | |
Mailing Address: | 1013 Magnolia Dr, CLEARWATER |
State: | FL |
Postal Code: | 337564035 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 3177 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |