Provider Demographics
NPI:1568199834
Name:HARDING, SHARITA (LMSW)
Entity Type:Individual
Prefix:
First Name:SHARITA
Middle Name:
Last Name:HARDING
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 EMERALD EDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-4496
Mailing Address - Country:US
Mailing Address - Phone:240-778-3538
Mailing Address - Fax:
Practice Address - Street 1:2027 EMERALD EDGE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-4496
Practice Address - Country:US
Practice Address - Phone:240-778-3538
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69015101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health