Healthcare Provider Details

I. General information

NPI: 1497018717
Provider Name (Legal Business Name): SHARON DIAZ-HARVEY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHORE GROWTH AND WELLNESS LLC

II. Dates (important events)

Enumeration Date: 06/21/2012
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 SEWARD DRIVE
OCEAN NJ
07712
US

IV. Provider business mailing address

29 SEWARD DR
OCEAN NJ
07712-3744
US

V. Phone/Fax

Practice location:
  • Phone: 908-309-6948
  • Fax:
Mailing address:
  • Phone: 908-309-6948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00435200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: