Provider Demographics
NPI:1720295611
Name:HARRELL, SHARON H (MS ED LPCMH)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:H
Last Name:HARRELL
Suffix:
Gender:F
Credentials:MS ED LPCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3309
Mailing Address - Country:US
Mailing Address - Phone:302-656-0651
Mailing Address - Fax:302-654-6432
Practice Address - Street 1:2601 W 4TH ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19805-3309
Practice Address - Country:US
Practice Address - Phone:302-656-0651
Practice Address - Fax:302-654-6432
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE128812101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health