Healthcare Provider Details

I. General information

NPI: 1952205452
Provider Name (Legal Business Name): SHARNETTA BENNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 HALF ST SW APT 217
WASHINGTON DC
20024-3332
US

IV. Provider business mailing address

1800 HALF ST SW APT 217 STE 217
WASHINGTON DC
20024-3332
US

V. Phone/Fax

Practice location:
  • Phone: 240-926-6327
  • Fax:
Mailing address:
  • Phone: 240-926-6327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: