Healthcare Provider Details

I. General information

NPI: 1164632121
Provider Name (Legal Business Name): SHARON STEINBORN M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E LOHMAN AVE STE 110-204
LAS CRUCES NM
88001-3167
US

IV. Provider business mailing address

2001 E LOHMAN AVE STE 110-204
LAS CRUCES NM
88001-3167
US

V. Phone/Fax

Practice location:
  • Phone: 480-381-2233
  • Fax:
Mailing address:
  • Phone: 480-381-2233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number166000473
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: