Provider Demographics
NPI:1932448651
Name:HATTEN, SHARON WHITE (LCSW)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:WHITE
Last Name:HATTEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 HIGHWAY 84 W
Mailing Address - Street 2:
Mailing Address - City:COLLINS
Mailing Address - State:MS
Mailing Address - Zip Code:39428-4859
Mailing Address - Country:US
Mailing Address - Phone:601-329-6451
Mailing Address - Fax:
Practice Address - Street 1:244 HIGHWAY 84 W
Practice Address - Street 2:
Practice Address - City:COLLINS
Practice Address - State:MS
Practice Address - Zip Code:39428-4859
Practice Address - Country:US
Practice Address - Phone:601-329-6451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSC58171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical