Healthcare Provider Details

I. General information

NPI: 1285354621
Provider Name (Legal Business Name): SHARON D LEWIS LAMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 08/29/2022
Certification Date: 08/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 CATHY LN STE 103
BURLINGTON NJ
08016-9727
US

IV. Provider business mailing address

60 CATHY LN STE 103
BURLINGTON NJ
08016-9727
US

V. Phone/Fax

Practice location:
  • Phone: 609-499-0165
  • Fax: 703-117-0313
Mailing address:
  • Phone: 609-499-0165
  • Fax: 703-117-0313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37FA00027100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: