MEDICARE: SHARON MICHELLE RAY LCPC-I

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	CI5466	NV

General Provider Information

NPI Number	:	1992320600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON MICHELLE RAY LCPC-I

Provider Business Mailing Address
First Line	:	2850 HARRIS ST
Second Line	:
City	:	SLIDELL
State	:	LA
Zip	:	70458-4130
Country	:	US
Telephone Number	:	214-395-2902
Fax Number	:

Provider Business Practice Location Address
First Line	:	PO BOX 570011
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89157-0011
Country	:	US
Telephone Number	:	214-395-2902
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2020
Last Update Date	:	12/11/2024

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Directions to “ SHARON MICHELLE RAY LCPC-I” Practice Location

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