MEDICARE: SHARI HARWOOD COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	5086937-3501	UT

General Provider Information

NPI Number	:	1346793999
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHARI HARWOOD COUNSELING

Provider Business Mailing Address
First Line	:	798 E 2150 S
Second Line	:
City	:	BOUNTIFUL
State	:	UT
Zip	:	84010-4252
Country	:	US
Telephone Number	:	801-859-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	5681 S REDWOOD RD UNIT 24
Second Line	:
City	:	TAYLORSVILLE
State	:	UT
Zip	:	84123-5484
Country	:	US
Telephone Number	:	801-859-4274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. SHARI HARWOOD
Credential	:	LCSW
Telephone Number	:	801-859-4274

Provider Enumeration Date	:	08/01/2016
Last Update Date	:	08/01/2016

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