Provider Demographics
NPI:1699036947
Name:SHEARER, LAURA ANDERSON (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:ANDERSON
Last Name:SHEARER
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 1:7109 GAINESBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37909-3006
Mailing Address - Country:US
Mailing Address - Phone:865-805-8929
Mailing Address - Fax:865-692-2393
Practice Address - Street 1:151 SHERWAY RD
Practice Address - Street 2:SUITE 1
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2236
Practice Address - Country:US
Practice Address - Phone:865-692-2390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2012-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2522101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional