Provider Demographics
NPI:1558143784
Name:JENKINS, SHARON B (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:B
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14605 NW 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33167-1133
Mailing Address - Country:US
Mailing Address - Phone:786-366-6470
Mailing Address - Fax:
Practice Address - Street 1:1731 NW 1ST PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1733
Practice Address - Country:US
Practice Address - Phone:954-300-1653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health