Provider Demographics
NPI:1396851317
Name:BEAM, SHARON (M ED, LPC-S)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BEAM
Suffix:
Gender:F
Credentials:M ED, LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 US HIGHWAY 380 STE 300
Mailing Address - Street 2:
Mailing Address - City:CROSSROADS
Mailing Address - State:TX
Mailing Address - Zip Code:76227-2632
Mailing Address - Country:US
Mailing Address - Phone:940-300-2312
Mailing Address - Fax:817-997-4307
Practice Address - Street 1:8000 US HIGHWAY 380 STE 300
Practice Address - Street 2:
Practice Address - City:CROSSROADS
Practice Address - State:TX
Practice Address - Zip Code:76227-2632
Practice Address - Country:US
Practice Address - Phone:940-300-2312
Practice Address - Fax:817-997-4307
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13530101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional