Provider Demographics
NPI:1205988359
Name:SCHORSCH, SHARON GAE (LPC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:GAE
Last Name:SCHORSCH
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 1:4803 HAMILTON WOLFE RD
Mailing Address - Street 2:# 405
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4405
Mailing Address - Country:US
Mailing Address - Phone:210-643-5155
Mailing Address - Fax:210-691-2640
Practice Address - Street 1:6800 PARK TEN BLVD
Practice Address - Street 2:SUITE 206-N
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4211
Practice Address - Country:US
Practice Address - Phone:210-643-5155
Practice Address - Fax:210-691-2640
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16686101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health