Basic Information
| Provider Information | |||||||||
| NPI: | 1740360817 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SKAGGS | ||||||||
| FirstName: | SHARRON | ||||||||
| MiddleName: | LIVINGSTON | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | RN C LCDC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1433 FAIRFIELD DR | ||||||||
| Address2: | HILL COUNTRY COUNSELING | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78758 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124918444 | ||||||||
| FaxNumber: | 5124910226 | ||||||||
| Practice Location | |||||||||
| Address1: | 1433 FAIRFIELD DR | ||||||||
| Address2: | HILL COUNTRY COUNSELING | ||||||||
| City: | AUSTIN | ||||||||
| State: | TX | ||||||||
| PostalCode: | 78758 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5124918444 | ||||||||
| FaxNumber: | 5124910226 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 364SP0812X | 03055 | TX | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health, Community |
No ID Information.