Provider Demographics
NPI:1831128354
Name:NELSON, SHARON ELIZABETH (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELIZABETH
Last Name:NELSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5500 PINNACLE POINT DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-8154
Mailing Address - Country:US
Mailing Address - Phone:479-283-6756
Mailing Address - Fax:479-268-4142
Practice Address - Street 1:5500 PINNACLE POINT DR
Practice Address - Street 2:SUITE 204
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-8154
Practice Address - Country:US
Practice Address - Phone:479-283-6756
Practice Address - Fax:479-268-4142
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2074-C101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health