Provider Demographics
NPI:1851178248
Name:LAWRENCE, SHARDAY CHRISTINE (LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARDAY
Middle Name:CHRISTINE
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5447 MEREDITH ST APT A
Mailing Address - Street 2:
Mailing Address - City:PORTAGE
Mailing Address - State:MI
Mailing Address - Zip Code:49002-2126
Mailing Address - Country:US
Mailing Address - Phone:313-282-1524
Mailing Address - Fax:
Practice Address - Street 1:5447 MEREDITH ST APT A
Practice Address - Street 2:
Practice Address - City:PORTAGE
Practice Address - State:MI
Practice Address - Zip Code:49002-2126
Practice Address - Country:US
Practice Address - Phone:313-282-1524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015333101YP2500X
TX92768101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional