Provider Demographics
NPI:1811233752
Name:ANDERSON, SHARMANE YVONNE (CPS)
Entity Type:Individual
Prefix:MS
First Name:SHARMANE
Middle Name:YVONNE
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:CPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 N CHURCH ST
Mailing Address - Street 2:PO BOX 430
Mailing Address - City:MANNING
Mailing Address - State:SC
Mailing Address - Zip Code:29102-3502
Mailing Address - Country:US
Mailing Address - Phone:803-435-2121
Mailing Address - Fax:803-435-8856
Practice Address - Street 1:14 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:MANNING
Practice Address - State:SC
Practice Address - Zip Code:29102-3502
Practice Address - Country:US
Practice Address - Phone:803-435-2121
Practice Address - Fax:803-435-8856
Is Sole Proprietor?:No
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)