Provider Demographics
NPI:1215175757
Name:STEELE-BLAKEMAN, SHARON ANN (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:STEELE-BLAKEMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CHANDLER CT
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-3617
Mailing Address - Country:US
Mailing Address - Phone:903-819-2804
Mailing Address - Fax:
Practice Address - Street 1:203 N JACKSON AVE
Practice Address - Street 2:
Practice Address - City:WYLIE
Practice Address - State:TX
Practice Address - Zip Code:75098-4444
Practice Address - Country:US
Practice Address - Phone:972-442-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5792101YA0400X
TX12004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)