Provider Demographics
NPI:1114080181
Name:BARNETTE, SHARON MILDRED (ED D, HSP-PA, LPC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MILDRED
Last Name:BARNETTE
Suffix:
Gender:F
Credentials:ED D, HSP-PA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28081-3203
Mailing Address - Country:US
Mailing Address - Phone:704-933-4673
Mailing Address - Fax:704-933-4325
Practice Address - Street 1:301 S MAIN ST
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28081-3203
Practice Address - Country:US
Practice Address - Phone:704-933-4673
Practice Address - Fax:704-933-4325
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4478101YP2500X
NC324103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC182781OtherMEDCOST
NC203368002OtherTAX ID
NC1353UOtherBCBS NUMBER
NC6107226Medicaid