Provider Demographics
NPI:1578290664
Name:DANZIGER, SHARA (LPC (T), PLPC)
Entity Type:Individual
Prefix:
First Name:SHARA
Middle Name:
Last Name:DANZIGER
Suffix:
Gender:F
Credentials:LPC (T), PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2241 HICKORY CREST DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-6847
Mailing Address - Country:US
Mailing Address - Phone:901-218-6161
Mailing Address - Fax:
Practice Address - Street 1:5545 MURRAY AVE STE 204
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-3898
Practice Address - Country:US
Practice Address - Phone:901-440-8580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5616101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health