Provider Demographics
NPI:1730124447
Name:LAMBDIN, SHARON MARIE (MS LPC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:MARIE
Last Name:LAMBDIN
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 GRAHAM WAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37912-3695
Mailing Address - Country:US
Mailing Address - Phone:865-689-5168
Mailing Address - Fax:865-688-5780
Practice Address - Street 1:4420 WHITTLE SPRINGS RD STE B
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-1513
Practice Address - Country:US
Practice Address - Phone:865-323-4706
Practice Address - Fax:865-688-5780
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-17
Last Update Date:2019-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1478101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ023473Medicaid