Healthcare Provider Details

I. General information

NPI: 1164882122
Provider Name (Legal Business Name): SANDHYA SHARMA LPC, CACII
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDHYA NAGABHUSHAN LPC CAC II

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 DEEP EDDY AVE STE 602
AUSTIN TX
78703-4555
US

IV. Provider business mailing address

508 DEEP EDDY AVE STE 602
AUSTIN TX
78703-4555
US

V. Phone/Fax

Practice location:
  • Phone: 512-461-0239
  • Fax:
Mailing address:
  • Phone: 512-461-0239
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number88295
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: