Provider Demographics
NPI:1871195248
Name:SHARON DANCER COUNSELING, LLC
Entity Type:Organization
Organization Name:SHARON DANCER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:DANCER
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:843-252-3595
Mailing Address - Street 1:2925 LEDO RD STE 1
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-1267
Mailing Address - Country:US
Mailing Address - Phone:229-483-5050
Mailing Address - Fax:229-485-1103
Practice Address - Street 1:2925 LEDO RD STE 1
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-1267
Practice Address - Country:US
Practice Address - Phone:229-483-5050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2023-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health