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Provider Information for 1588366207


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SHARON TOLDSON MS, LMHC, BCCS, CCTP


Sex: Female

NPI: 1588366207
Last Updated: 2023-07-07
Certification Date: 2023-07-07

Details

NameValue
NPI1588366207
Enumeration Date2023-03-20
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 1317 EDGEWATER DR # 5442
ORLANDO, FL 32804-6350
United States

Phone: 407-663-3171 | Fax:
 
Primary Practice Address 1317 EDGEWATER DR STE 5442
ORLANDO, FL 32804-6350
United States

Phone: 407-663-3171 | Fax:
 
Secondary Practice Address(es)

200 N CLARA AVE
DELAND, FL 32720-4223
United States

Phone: 386-734-7190 | Fax:
 

780 DELTONA BLVD STE 102
DELTONA, FL 32725-7128
United States

Phone: 386-400-3100 | Fax:
 

990 VILLA ST
MOUNTAIN VIEW, CA 94041-1236
United States

Phone: 888-688-9296 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthFL21267