Provider Demographics
NPI:1578384418
Name:ARRINDELL, SHARON CD (DBC, EDD, MSC)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:CD
Last Name:ARRINDELL
Suffix:
Gender:F
Credentials:DBC, EDD, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 SW LAKE CHARLES CIR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3427
Mailing Address - Country:US
Mailing Address - Phone:772-475-0430
Mailing Address - Fax:
Practice Address - Street 1:615 SW LAKE CHARLES CIR
Practice Address - Street 2:
Practice Address - City:PORT ST LUCIE
Practice Address - State:FL
Practice Address - Zip Code:34986-3427
Practice Address - Country:US
Practice Address - Phone:772-475-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-23
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLLPC0412010114101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral