MEDICARE: SHARA LIGONDE LMHC

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	:	1710609870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARA LIGONDE LMHC

Provider Business Mailing Address
First Line	:	200 S ANDREWS AVE STE 504
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2066
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 S ANDREWS AVE STE 504
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33301-2066
Country	:	US
Telephone Number	:	954-228-0303
Fax Number	:

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

Provider Enumeration Date	:	09/15/2022
Last Update Date	:	02/20/2025

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