Provider Demographics
NPI:1770723918
Name:HORAK, SHARLENE SIMS (LCSW)
Entity type:Individual
Prefix:MRS
First Name:SHARLENE
Middle Name:SIMS
Last Name:HORAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4436 OVERTON TER
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-2517
Mailing Address - Country:US
Mailing Address - Phone:817-926-2160
Mailing Address - Fax:817-926-4699
Practice Address - Street 1:4436 OVERTON TER
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-2517
Practice Address - Country:US
Practice Address - Phone:817-926-2160
Practice Address - Fax:817-926-4699
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-28
Last Update Date:2009-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34112101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health