Provider Demographics
NPI:1346027570
Name:POLLARD, SHARI M B X
Entity Type:Individual
Prefix:DR
First Name:SHARI
Middle Name:M B
Last Name:POLLARD
Suffix:X
Gender:F
Credentials:
Other - Prefix:PROF
Other - First Name:AMERICA
Other - Middle Name:MICHELLE
Other - Last Name:BROWN
Other - Suffix:V
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7394 CHALK WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30296
Mailing Address - Country:US
Mailing Address - Phone:404-423-2457
Mailing Address - Fax:
Practice Address - Street 1:7394 CHALK WAY STE 3
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30296-1519
Practice Address - Country:US
Practice Address - Phone:404-423-2457
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health