Provider Demographics
NPI:1417263138
Name:SHARP, ANASTASIA ELEFTHERIA (CMHC)
Entity Type:Individual
Prefix:
First Name:ANASTASIA
Middle Name:ELEFTHERIA
Last Name:SHARP
Suffix:
Gender:F
Credentials:CMHC
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 935
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-0917
Mailing Address - Country:US
Mailing Address - Phone:801-706-5467
Mailing Address - Fax:
Practice Address - Street 1:7300 S 300 W STE 101
Practice Address - Street 2:
Practice Address - City:MIDVALE
Practice Address - State:UT
Practice Address - Zip Code:84047-1986
Practice Address - Country:US
Practice Address - Phone:801-984-1717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2024-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT4967659-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health