Doctor Name: | MISS SHARON R. BEARD |
NPI Number: | 1124398532 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4368 |
Business Practice Address: | 210 Medical Dr Natchitoches, LA - 714576052 |
Business Phone Number: | 3182388801 |
Business Fax Number: | 3182388803 |
Mailing Address: | Po Box 2221, NATCHITOCHES |
State: | LA |
Postal Code: | 714572221 |
Phone Number: | 3182388801 |
Fax Number: | 3182388803 |
NPI Enumeration Date: | 01/03/2012 |
NPI Last Update Date: | 07/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 4368 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |