Provider Demographics
NPI:1639997604
Name:SHARMA, SANGEETA (LPC)
Entity type:Individual
Prefix:
First Name:SANGEETA
Middle Name:
Last Name:SHARMA
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 N MICHIGAN AVE STE 925
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-3463
Mailing Address - Country:US
Mailing Address - Phone:312-263-9400
Mailing Address - Fax:312-263-9401
Practice Address - Street 1:30 N MICHIGAN AVE STE 925
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-3463
Practice Address - Country:US
Practice Address - Phone:312-263-9400
Practice Address - Fax:312-263-9401
Is Sole Proprietor?:No
Enumeration Date:2024-09-30
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178020369101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional