Provider Demographics
NPI:1083471916
Name:FITZHUGH, SHARTHEA MONIQUE NICOLE (MS, LLPC,)
Entity type:Individual
Prefix:
First Name:SHARTHEA
Middle Name:MONIQUE NICOLE
Last Name:FITZHUGH
Suffix:
Gender:F
Credentials:MS, LLPC,
Other - Prefix:
Other - First Name:SHARTHEA
Other - Middle Name:MONIQUE NICOLE
Other - Last Name:HUGHEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5585 E OUTER DR
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3717
Mailing Address - Country:US
Mailing Address - Phone:313-510-9002
Mailing Address - Fax:
Practice Address - Street 1:1585 BALDWIN AVE STE 100
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48340-1113
Practice Address - Country:US
Practice Address - Phone:248-221-0579
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-06
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451023534101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health