Healthcare Provider Details

I. General information

NPI: 1245889237
Provider Name (Legal Business Name): SHARON K HOLLENBECK MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2019
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 W PALMERAS DR STE 237
SUN CITY AZ
85373-2013
US

IV. Provider business mailing address

7805 W GIBSON RANCH RD
PAYSON AZ
85541-3486
US

V. Phone/Fax

Practice location:
  • Phone: 480-250-4189
  • Fax:
Mailing address:
  • Phone: 480-250-4189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-18285
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: