Provider Demographics
NPI:1215051768
Name:DESORCY-MARCOTTE, SHARON A (LPCC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:A
Last Name:DESORCY-MARCOTTE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 N FAIRFIELD RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2668
Mailing Address - Country:US
Mailing Address - Phone:937-426-5225
Mailing Address - Fax:937-426-7526
Practice Address - Street 1:1255 N FAIRFIELD RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2668
Practice Address - Country:US
Practice Address - Phone:937-426-5225
Practice Address - Fax:937-426-7526
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-0000123101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional