| Doctor Name: | SHARON LOUISE CUMMINS |
| NPI Number: | 1023423837 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LAC |
| License Number: | A1403051 |
| Business Practice Address: | 350 Salem Rd Suite 1 Conway, AR - 720347525 |
| Business Phone Number: | 5013368300 |
| Business Fax Number: | 4798905364 |
| Mailing Address: | 110 Skyline Dr, RUSSELLVILLE |
| State: | AR |
| Postal Code: | 728013362 |
| Phone Number: | 4799675570 |
| Fax Number: | 4798905364 |
| NPI Enumeration Date: | 07/01/2014 |
| NPI Last Update Date: | 08/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A1403051 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |