Provider Demographics
NPI:1235782186
Name:DICKEY, SHARON (LCMHC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:DICKEY
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 ASHETON RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28411-9005
Mailing Address - Country:US
Mailing Address - Phone:770-317-0730
Mailing Address - Fax:
Practice Address - Street 1:213 ASHETON RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28411-9005
Practice Address - Country:US
Practice Address - Phone:770-317-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2022-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14518101YM0800X, 101YM0800X
NCA14518101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral