Provider Demographics
NPI:1790081743
Name:BURKITT, SHARON (MS, NCC, LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:BURKITT
Suffix:
Gender:F
Credentials:MS, NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 N ELM ST
Mailing Address - Street 2:#2
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1442
Mailing Address - Country:US
Mailing Address - Phone:336-601-8146
Mailing Address - Fax:336-609-7216
Practice Address - Street 1:1817 EFLAND DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4211
Practice Address - Country:US
Practice Address - Phone:336-601-8146
Practice Address - Fax:336-609-7216
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-08
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA8004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health