Provider Demographics
NPI:1497823223
Name:DUGGINS-REED, SHARA KAY (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARA
Middle Name:KAY
Last Name:DUGGINS-REED
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SHARA
Other - Middle Name:KAY
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1561
Mailing Address - Street 2:
Mailing Address - City:KILGORE
Mailing Address - State:TX
Mailing Address - Zip Code:75663-1561
Mailing Address - Country:US
Mailing Address - Phone:903-780-5861
Mailing Address - Fax:
Practice Address - Street 1:1800 SHILOH ROAD SUITE 101
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75703-4623
Practice Address - Country:US
Practice Address - Phone:903-780-5861
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31403104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker