Provider Demographics
NPI:1558857169
Name:DALEY, SHARNA (MS, LPC)
Entity Type:Individual
Prefix:
First Name:SHARNA
Middle Name:
Last Name:DALEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GLEN HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:TX
Mailing Address - Zip Code:76513-3506
Mailing Address - Country:US
Mailing Address - Phone:254-392-4439
Mailing Address - Fax:
Practice Address - Street 1:700 GLEN HOLLOW RD
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:TX
Practice Address - Zip Code:76513-3506
Practice Address - Country:US
Practice Address - Phone:254-392-4439
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-06
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76727101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health