Provider Demographics
NPI:1821102211
Name:HEALY, SHARI BETH (MC, LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARI
Middle Name:BETH
Last Name:HEALY
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3742 E 4TH ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-5010
Mailing Address - Country:US
Mailing Address - Phone:520-205-7551
Mailing Address - Fax:520-205-7754
Practice Address - Street 1:1802 W. ST. MARY'S RD.
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745
Practice Address - Country:US
Practice Address - Phone:520-205-7551
Practice Address - Fax:520-205-7754
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-11133101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health