Provider Demographics
NPI:1700325974
Name:MCLAUCHLIN, SHARON
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:MCLAUCHLIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:MCLAUCHLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:287 E CROGAN ST
Mailing Address - Street 2:APT 6313
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-6892
Mailing Address - Country:US
Mailing Address - Phone:678-978-9738
Mailing Address - Fax:
Practice Address - Street 1:1561 HIGHWAY 42 N
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-4721
Practice Address - Country:US
Practice Address - Phone:678-824-6590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist