Healthcare Provider Details

I. General information

NPI: 1518999747
Provider Name (Legal Business Name): SHARON ELIZABETH HUFFMAN LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/17/2023
Certification Date: 08/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8415 BELLONA LN STE 203
TOWSON MD
21204-2066
US

IV. Provider business mailing address

109 E AYLESBURY RD
TIMONIUM MD
21093-5203
US

V. Phone/Fax

Practice location:
  • Phone: 410-777-8151
  • Fax:
Mailing address:
  • Phone: 443-564-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC1642
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLC1642
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0013
Identifier TypeOTHER
Identifier State
Identifier IssuerFED BC
# 2
Identifier403486400
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer
# 3
Identifier713932000
Identifier TypeOTHER
Identifier State
Identifier IssuerMAGELLAN
# 4
Identifier214925
Identifier TypeOTHER
Identifier State
Identifier IssuerKAISER
# 5
Identifier330038
Identifier TypeOTHER
Identifier State
Identifier IssuerMANAGED HEALTH NETWORK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: