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NPI Code Detail

MEDICARE: MRS. SHARON KAY MOWRER LMHC

MEDICARE: MRS. SHARON KAY MOWRER 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
1101YM0800XMental Health Counselor39001717AIN

General Provider Information

NPI Number : 1750573424
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON KAY MOWRER LMHC
Provider Business Mailing Address
First Line : 7720 GREYMOOR DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46815-8755
Country : US
Telephone Number : 260-493-8803
Fax Number :
Provider Business Practice Location Address
First Line : 1415 MAGNAVOX WAY
Second Line : SUITE 120
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-760-8645
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2007
Last Update Date : 08/15/2007

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