Provider Demographics
NPI:1003341124
Name:ADAMS, SHARONDA (MS ED)
Entity Type:Individual
Prefix:MISS
First Name:SHARONDA
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:MS ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7875 SW 104TH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-2677
Mailing Address - Country:US
Mailing Address - Phone:305-740-8998
Mailing Address - Fax:
Practice Address - Street 1:7875 SW 104TH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-2677
Practice Address - Country:US
Practice Address - Phone:305-740-8998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-26
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist