Healthcare Provider Details

I. General information

NPI: 1033215033
Provider Name (Legal Business Name): SHARON GARANT LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2006
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 CROOKS RD STE. 100
TROY MI
48084-4733
US

IV. Provider business mailing address

637 PARTINGTON
WINDSOR ONTARIO
N9B 2N6
CA

V. Phone/Fax

Practice location:
  • Phone: 248-731-7305
  • Fax: 248-731-7388
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6801077935
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: