Provider Demographics
NPI:1922562461
Name:SHARMA, PALLAVI (LPC)
Entity Type:Individual
Prefix:
First Name:PALLAVI
Middle Name:
Last Name:SHARMA
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 1:922 SOUTHWESTERN DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5552
Mailing Address - Country:US
Mailing Address - Phone:817-798-3404
Mailing Address - Fax:
Practice Address - Street 1:1902 COUNTRY CLUB DR STE 120
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-5824
Practice Address - Country:US
Practice Address - Phone:972-820-6299
Practice Address - Fax:972-417-7000
Is Sole Proprietor?:No
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX76979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional