Healthcare Provider Details

I. General information

NPI: 1902274665
Provider Name (Legal Business Name): DANIELLE RAE SHARRAH LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE WHITE

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3970 HERITAGE AVE
OKEMOS MI
48864-3344
US

IV. Provider business mailing address

3970 HERITAGE AVE
OKEMOS MI
48864-3344
US

V. Phone/Fax

Practice location:
  • Phone: 517-507-5892
  • Fax: 517-258-2951
Mailing address:
  • Phone: 517-507-5892
  • Fax: 517-258-2951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: