Provider Demographics
NPI:1457536419
Name:RICHEY, SHARON KAY (MS, LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:KAY
Last Name:RICHEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:262 JEFFERSON PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76107-1897
Mailing Address - Country:US
Mailing Address - Phone:817-703-6898
Mailing Address - Fax:
Practice Address - Street 1:262 JEFFERSON PKWY
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76107-1897
Practice Address - Country:US
Practice Address - Phone:817-703-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-08
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional