Provider Demographics
NPI:1699059006
Name:DENTON, SHARLA (BHP)
Entity type:Individual
Prefix:
First Name:SHARLA
Middle Name:
Last Name:DENTON
Suffix:
Gender:F
Credentials:BHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:924 N COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85201-4108
Mailing Address - Country:US
Mailing Address - Phone:480-969-3800
Mailing Address - Fax:480-222-3221
Practice Address - Street 1:4250 E FLORIAN AVE
Practice Address - Street 2:BLDG 1
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-2797
Practice Address - Country:US
Practice Address - Phone:480-969-3800
Practice Address - Fax:480-222-3221
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC 13722101YP2500X
AZLPC-13722101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional