Provider Demographics
NPI:1770116121
Name:SHAROLETTE COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:SHAROLETTE COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAROLETTE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:706-302-1658
Mailing Address - Street 1:520 FLING RD
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:GA
Mailing Address - Zip Code:30240-3961
Mailing Address - Country:US
Mailing Address - Phone:706-302-1658
Mailing Address - Fax:706-780-5402
Practice Address - Street 1:406 RIDLEY AVE
Practice Address - Street 2:
Practice Address - City:LAGRANGE
Practice Address - State:GA
Practice Address - Zip Code:30240-2232
Practice Address - Country:US
Practice Address - Phone:706-302-1658
Practice Address - Fax:706-780-5402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty