DR. SHARA GOUDREAU (NPI# 1750907242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750907242 |
Entity Type | Individual |
Full Name | DR. SHARA GOUDREAU |
Credential | LMHC |
Practice Address |
10760 Emilia Isles Ter Boynton Beach FL 33473-4965 |
Practice Telephone | 9175281137 |
Mailing Telephone | 9175281137 |
Enumeration Date | 2020-06-19 |
Last Update Date | 2020-06-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH12932 | FL | Behavioral Health & Social Service Providers |
Street Address |
10760 EMILIA ISLES TER |
City | BOYNTON BEACH |
State | FL |
Zip Code | 33473-4965 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013293059 | Emily Katcher | Nurse Practitioner | 8662 Daystar Ridge Pt, Boynton Beach, FL 33473 | 2011-10-21 |
1962672030 | Physical Therapy On Wheels Inc | Physical Therapist | 11195 Millpond Greens Drive, Boynton Beach, FL 33473 | 2008-03-05 |
1750444667 | Rochelle Stern | Nurse Anesthetist, Certified Registered | 8843 Heartsong Terrace, Boynton Beach, FL 33473 | 2006-12-19 |
1518020106 | Steven B Berlin | Dentist | 12019 Glacier Bay Drive, Boynton Beach, FL 33473 | 2006-12-18 |
1144544065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2010-03-22 |
1699229328 | Joy Ebo | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2016-08-10 |
1306115720 | Mariam Ikladious Tawadros | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-14 |
1982972295 | Bijal Patel | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-01 |
1851420640 | Dennis Harkins | Chiropractor | 10684 Stone Garden Dr, Boynton Beach, FL 33473-4804 | 2007-03-05 |
1194766956 | Fred Tow | Radiology | 8921 Raven Rock Ct, Boynton Beach, FL 33473-4831 | 2006-06-10 |
Find all providers in zip 33473 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396359683 | Robert Joseph Messarge Jr. | Counselor | 1080 Audace Ave Apt 204, Boynton Beach, FL 33426-3529 | 2020-09-03 |
1134733959 | Gillian Haggerty | Counselor | 1320 Sw 26th Ave, Boynton Beach, FL 33426-7818 | 2020-08-31 |
1063021541 | Rose Marie Lott | Counselor | 5025 Ashley Lake Dr # 2-013, Boynton Beach, FL 33437-3175 | 2020-07-30 |
1235768946 | Aliza Beaulieu | Counselor | 2410 Renaissance Way, Boynton Beach, FL 33426-8228 | 2020-04-04 |
1487280830 | Wendy Lynn Price | Counselor | 221 Se 3rd Ave Apt 8b, Boynton Beach, FL 33435-4563 | 2020-03-18 |
1598305492 | Reinna Albornoz | Counselor | 8039 Bellagio Ln, Boynton Beach, FL 33472-2743 | 2020-01-09 |
1194366799 | Krystle Mcgrady | Counselor | 6416 Country Fair Cir, Boynton Beach, FL 33437-2824 | 2019-10-04 |
1548801616 | Regina Green | Counselor | 1455 Via Alferi, Boynton Beach, FL 33426-8255 | 2019-09-30 |
1396219549 | Maxwell T Couture | Counselor | 82 Via De Casas Norte, Boynton Beach, FL 33426-8807 | 2019-01-21 |
1790285096 | Alessiana Diniz | Counselor | 9885 Cobblestone Creek Dr, Boynton Beach, FL 33472-4453 | 2018-02-14 |
Find all providers in BOYNTON BEACH |
City | BOYNTON BEACH |
Zip Code | 33473 |
Please comment or provide details below to improve the information on DR. SHARA GOUDREAU.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.