Healthcare Provider Details

I. General information

NPI: 1275062838
Provider Name (Legal Business Name): SHARON DENISE PLEASANT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 11/02/2020
Certification Date: 11/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

622 RIVERSIDE DR
MONROE LA
71201
US

IV. Provider business mailing address

1500 N 19TH ST STE 12
MONROE LA
71201-4942
US

V. Phone/Fax

Practice location:
  • Phone: 318-398-4314
  • Fax:
Mailing address:
  • Phone: 614-256-7544
  • Fax: 614-835-0501

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8013
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: