Provider Demographics
NPI:1912459801
Name:DEMARS, SHARONDA
Entity Type:Individual
Prefix:
First Name:SHARONDA
Middle Name:
Last Name:DEMARS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 SARAH ST
Mailing Address - Street 2:123 SARAH ST.
Mailing Address - City:NATCHITOCHES
Mailing Address - State:LA
Mailing Address - Zip Code:71457-3492
Mailing Address - Country:US
Mailing Address - Phone:318-581-6437
Mailing Address - Fax:
Practice Address - Street 1:123 SARAH ST
Practice Address - Street 2:123 SARAH ST.
Practice Address - City:NATCHITOCHES
Practice Address - State:LA
Practice Address - Zip Code:71457-3492
Practice Address - Country:US
Practice Address - Phone:318-581-6437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-26
Last Update Date:2016-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health