Provider Demographics
NPI:1942307574
Name:WATKIS, SHARON BEVERLY (LMHC)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:BEVERLY
Last Name:WATKIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:283 RICH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WESTCHESTER
Mailing Address - Zip Code:10552
Mailing Address - Country:BT
Mailing Address - Phone:914-699-9503
Mailing Address - Fax:914-699-5723
Practice Address - Street 1:283 RICH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10552-3311
Practice Address - Country:US
Practice Address - Phone:914-699-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000925-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health