Provider Demographics
NPI:1932117090
Name:GOLDEN, SHARON (MS, NCC, LMHC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:MS, NCC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1335 PAINE RD
Mailing Address - Street 2:
Mailing Address - City:HEWLETT
Mailing Address - State:NY
Mailing Address - Zip Code:11557-1719
Mailing Address - Country:US
Mailing Address - Phone:516-791-9373
Mailing Address - Fax:
Practice Address - Street 1:1335 PAINE RD
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1719
Practice Address - Country:US
Practice Address - Phone:516-791-9373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYL.M.H.C. 000431101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health