Provider Demographics
NPI:1225238546
Name:FERRELL, SHARON LEE (LCSW, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LEE
Last Name:FERRELL
Suffix:
Gender:F
Credentials:LCSW, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 MESITA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-1812
Mailing Address - Country:US
Mailing Address - Phone:915-533-7199
Mailing Address - Fax:
Practice Address - Street 1:2311 N MESA ST
Practice Address - Street 2:E
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3666
Practice Address - Country:US
Practice Address - Phone:915-533-7199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical