Provider Demographics
NPI:1720232630
Name:FRINK, SHARNELL DENISE (PSYD, LPC)
Entity Type:Individual
Prefix:DR
First Name:SHARNELL
Middle Name:DENISE
Last Name:FRINK
Suffix:
Gender:F
Credentials:PSYD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 BUCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-6479
Mailing Address - Country:US
Mailing Address - Phone:770-780-9231
Mailing Address - Fax:
Practice Address - Street 1:1220 BUCKINGHAM DR
Practice Address - Street 2:
Practice Address - City:FAIRBURN
Practice Address - State:GA
Practice Address - Zip Code:30213-6479
Practice Address - Country:US
Practice Address - Phone:770-780-9231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health