Provider Demographics
NPI:1982596128
Name:BENSON, SHARONNE (LCMHCA)
Entity type:Individual
Prefix:
First Name:SHARONNE
Middle Name:
Last Name:BENSON
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5923 WAXHAW HWY UNIT 2
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-2615
Mailing Address - Country:US
Mailing Address - Phone:980-250-6246
Mailing Address - Fax:
Practice Address - Street 1:108 BLYTHE MILL RD
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7696
Practice Address - Country:US
Practice Address - Phone:984-212-0028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-21
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20724101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health