Provider Demographics
NPI:1427546878
Name:SALICHS, SHARON HAYDEE (MA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:HAYDEE
Last Name:SALICHS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:410 ALBATROSS CT UNIT B
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4415
Mailing Address - Country:US
Mailing Address - Phone:939-223-6056
Mailing Address - Fax:
Practice Address - Street 1:410 ALBATROSS CT UNIT B
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4415
Practice Address - Country:US
Practice Address - Phone:939-223-6056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor