Provider Demographics
NPI:1851904767
Name:SHARON DRABECK, LCSW, PLLC
Entity Type:Organization
Organization Name:SHARON DRABECK, LCSW, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DRABECK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:702-306-8438
Mailing Address - Street 1:159 S GLEN CANYON DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-6729
Mailing Address - Country:US
Mailing Address - Phone:702-306-8438
Mailing Address - Fax:
Practice Address - Street 1:1760 N MAIN ST STE 209
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84721-7808
Practice Address - Country:US
Practice Address - Phone:702-306-8438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-29
Last Update Date:2020-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty