Provider Demographics
NPI:1376216135
Name:KENT, SHARNDA (MS/ST)
Entity Type:Individual
Prefix:
First Name:SHARNDA
Middle Name:
Last Name:KENT
Suffix:
Gender:F
Credentials:MS/ST
Other - Prefix:
Other - First Name:SHARNDA
Other - Middle Name:
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS/ST
Mailing Address - Street 1:1518 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:HINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31313-9439
Mailing Address - Country:US
Mailing Address - Phone:912-559-5536
Mailing Address - Fax:614-388-3712
Practice Address - Street 1:1518 AIRPORT RD
Practice Address - Street 2:
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31313-9439
Practice Address - Country:US
Practice Address - Phone:912-559-5536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health