Provider Demographics
NPI:1043835986
Name:SHARON BURGAMY COUNSELING LLC
Entity Type:Organization
Organization Name:SHARON BURGAMY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:BURGAMY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:504-352-0651
Mailing Address - Street 1:9123 E MISSISSIPPI AVE APT 15-104
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-6881
Mailing Address - Country:US
Mailing Address - Phone:504-352-0651
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 201
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3801
Practice Address - Country:US
Practice Address - Phone:504-352-0651
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty