Provider Demographics
NPI:1578262408
Name:GARCIA, SHARON KAY
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:KAY
Last Name:GARCIA
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:KAY
Other - Last Name:GARCIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC-S
Mailing Address - Street 1:10119 MARCUS DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-3725
Mailing Address - Country:US
Mailing Address - Phone:210-323-6070
Mailing Address - Fax:
Practice Address - Street 1:10119 MARCUS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-3725
Practice Address - Country:US
Practice Address - Phone:210-323-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-28
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health