Provider Demographics
NPI:1518403138
Name:FULCHER-ESTES, SHARON RHONDA (LPC-S)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:RHONDA
Last Name:FULCHER-ESTES
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:RHONDA
Other - Last Name:FULCHER-TATOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:3821 PLUM VISTA PL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76005-4505
Mailing Address - Country:US
Mailing Address - Phone:817-939-5077
Mailing Address - Fax:
Practice Address - Street 1:209 N INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 237
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-6128
Practice Address - Country:US
Practice Address - Phone:817-571-4110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-07
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18532101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional