Provider Demographics
NPI:1497227870
Name:STEVENS, SHARON (LPCA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:STEVENS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 N PINE ST UNIT 2602
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28202-2082
Mailing Address - Country:US
Mailing Address - Phone:704-201-2047
Mailing Address - Fax:
Practice Address - Street 1:1994 UNIVERSITY CITY CHURCH DR
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-8236
Practice Address - Country:US
Practice Address - Phone:704-201-2047
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-22
Last Update Date:2018-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14506101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional