Provider Demographics
NPI:1275708554
Name:FINN, SHARON LASSITER (LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:LASSITER
Last Name:FINN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:HANEY
Other - Last Name:FINN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:412 MAUREEN DR
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23602-6349
Mailing Address - Country:US
Mailing Address - Phone:757-593-4700
Mailing Address - Fax:
Practice Address - Street 1:753 THIMBLE SHOALS BLVD STE 2A
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3575
Practice Address - Country:US
Practice Address - Phone:757-593-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-28
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA007010001582101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA5402077Medicaid