Provider Demographics
NPI:1487927844
Name:OGILVIE, SHARA (CMHC)
Entity type:Individual
Prefix:
First Name:SHARA
Middle Name:
Last Name:OGILVIE
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 S 100 E #2B
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84770
Mailing Address - Country:US
Mailing Address - Phone:435-668-6675
Mailing Address - Fax:435-246-2625
Practice Address - Street 1:75 S 100 E STE 2B
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3469
Practice Address - Country:US
Practice Address - Phone:435-668-6675
Practice Address - Fax:435-246-2625
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT82088386004101YM0800X
UT8208838-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health