Provider Demographics
NPI:1932473881
Name:LEBLANC, SHARON KAYE
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:KAYE
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 W TUNNEL BLVD
Mailing Address - Street 2:STE 430
Mailing Address - City:HOUMA
Mailing Address - State:LA
Mailing Address - Zip Code:70360-2801
Mailing Address - Country:US
Mailing Address - Phone:985-876-8630
Mailing Address - Fax:
Practice Address - Street 1:1340 W TUNNEL BLVD
Practice Address - Street 2:STE 330
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360-2801
Practice Address - Country:US
Practice Address - Phone:985-876-8630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator