Provider Demographics
NPI:1477944619
Name:LAUDICK, SHARON R (LCMFT, LCAC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:R
Last Name:LAUDICK
Suffix:
Gender:
Credentials:LCMFT, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1714 S HICKORY CREEK CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67235-4200
Mailing Address - Country:US
Mailing Address - Phone:316-258-2417
Mailing Address - Fax:
Practice Address - Street 1:1714 S HICKORY CREEK CT
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67235-4200
Practice Address - Country:US
Practice Address - Phone:316-258-2417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-10
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS373101YA0400X
KS185106H00000X
MO2021051210106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)