Provider Demographics
NPI:1740657907
Name:CHARLES, SONDRA
Entity type:Individual
Prefix:
First Name:SONDRA
Middle Name:
Last Name:CHARLES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:708 NACONA TRL
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8675
Mailing Address - Country:US
Mailing Address - Phone:254-368-8667
Mailing Address - Fax:
Practice Address - Street 1:331 INDIAN TRL STE 101P
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-7201
Practice Address - Country:US
Practice Address - Phone:254-368-8667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-24
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0096101041C0700X
TX1139321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical