Provider Demographics
NPI:1851684682
Name:GIVENS, SHARHONDA NICOLE (MA, LPC)
Entity type:Individual
Prefix:
First Name:SHARHONDA
Middle Name:NICOLE
Last Name:GIVENS
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:825 NW 142ND ST
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-1962
Mailing Address - Country:US
Mailing Address - Phone:405-406-0565
Mailing Address - Fax:
Practice Address - Street 1:620 NW 5TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-3948
Practice Address - Country:US
Practice Address - Phone:405-406-0565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-26
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK10308101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health