Provider Demographics
NPI:1255478814
Name:SHARPIN, LYNN (LPC)
Entity Type:Individual
Prefix:MISS
First Name:LYNN
Middle Name:
Last Name:SHARPIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 544
Mailing Address - Street 2:
Mailing Address - City:GOLDTHWAITE
Mailing Address - State:TX
Mailing Address - Zip Code:76844-0544
Mailing Address - Country:US
Mailing Address - Phone:512-413-1399
Mailing Address - Fax:
Practice Address - Street 1:104 E INDUSTRIAL BLVD
Practice Address - Street 2:
Practice Address - City:EARLY
Practice Address - State:TX
Practice Address - Zip Code:76802-2354
Practice Address - Country:US
Practice Address - Phone:512-413-1399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16251101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional