Provider Demographics
NPI:1881831865
Name:SHARPE, SAMUEL WESLEY (LPC)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL
Middle Name:WESLEY
Last Name:SHARPE
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 GLADSTONE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-2460
Mailing Address - Country:US
Mailing Address - Phone:828-298-6288
Mailing Address - Fax:828-350-1300
Practice Address - Street 1:119 TUNNEL RD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28805-1869
Practice Address - Country:US
Practice Address - Phone:828-350-1000
Practice Address - Fax:828-350-1300
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-14
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2221101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional