Provider Demographics
NPI:1073836557
Name:SHARPE, ASHLEY LAUREL (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:LAUREL
Last Name:SHARPE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:LAUREL
Other - Last Name:OWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:648 W 148TH ST S
Mailing Address - Street 2:
Mailing Address - City:GLENPOOL
Mailing Address - State:OK
Mailing Address - Zip Code:74033-4363
Mailing Address - Country:US
Mailing Address - Phone:918-760-4337
Mailing Address - Fax:
Practice Address - Street 1:7136 S BRADEN
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-496-9588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2012-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor