Most Relevant Information
Provider Data
| NPI Number: | 1003583741 |
| Provider Name: | SHARONDA RAVENELL LCMHCA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A16896 |
Most Important Dates
| Enumeration Date: | 08/29/2021 |
| Last Updated: | 08/29/2021 |
Provider Practice Location
2015 AYRSLEY TOWN BLVD STE 202
CHARLOTTE
NC
282734068
Practice Location Phone/Fax
| Phone: | 9805330856 |
| Fax: | 8448946961 |
Provider Mailing Location
2015 AYRSLEY TOWN BLVD STE 202
CHARLOTTE
NC
282734068
Provider Mailing Phone/Fax
| Phone: | 9805330856 |
| Fax: | 8448946961 |