Provider Demographics
NPI:1982897880
Name:HALE-DAVIS, SHARRON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHARRON
Middle Name:
Last Name:HALE-DAVIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 N MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:ROCKPORT
Mailing Address - State:TX
Mailing Address - Zip Code:78382-2748
Mailing Address - Country:US
Mailing Address - Phone:361-727-0143
Mailing Address - Fax:361-727-2036
Practice Address - Street 1:101 N MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:ROCKPORT
Practice Address - State:TX
Practice Address - Zip Code:78382-2748
Practice Address - Country:US
Practice Address - Phone:361-727-0143
Practice Address - Fax:361-727-2036
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14994101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health