MEDICARE: MS. SHARON MICHELLE GLEKEL LMFT

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

General Provider Information

NPI Number	:	1629628458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON MICHELLE GLEKEL LMFT

Provider Business Mailing Address
First Line	:	500 S. FEDERAL HWY
Second Line	:	#391
City	:	HALLANDALE
State	:	FL
Zip	:	33008
Country	:	US
Telephone Number	:	201-341-4475
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 S. FEDERAL HWY
Second Line	:	#391
City	:	HALLANDALE
State	:	FL
Zip	:	33008
Country	:	US
Telephone Number	:	201-341-4475
Fax Number	:	305-412-0138

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2019
Last Update Date	:	11/02/2023

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