Provider Demographics
NPI:1497066138
Name:SHARP, UMONA LISETTE (PHD, CCPC, LCDCIII)
Entity Type:Individual
Prefix:DR
First Name:UMONA
Middle Name:LISETTE
Last Name:SHARP
Suffix:
Gender:F
Credentials:PHD, CCPC, LCDCIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5581 EUREKA DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-4267
Mailing Address - Country:US
Mailing Address - Phone:513-268-7153
Mailing Address - Fax:
Practice Address - Street 1:5581 EUREKA DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-4267
Practice Address - Country:US
Practice Address - Phone:513-268-7153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDCIII.162113101YA0400X
101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)