Provider Demographics
NPI:1447346242
Name:SCHWARTZ, SHARON (LMHC CAP)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:LMHC CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23342 TRANQUIL LANE
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428
Mailing Address - Country:US
Mailing Address - Phone:954-235-6837
Mailing Address - Fax:561-488-6058
Practice Address - Street 1:4400 WEST SAMPLE RD
Practice Address - Street 2:ST 244
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33073
Practice Address - Country:US
Practice Address - Phone:954-235-6837
Practice Address - Fax:561-488-6058
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCAP1791L101YA0400X
FLMH3948101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)