Provider Demographics
NPI:1942306048
Name:MCLEOD, SHARON W (MA, LPC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:W
Last Name:MCLEOD
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3620 WHEAT ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29205-2831
Mailing Address - Country:US
Mailing Address - Phone:803-269-5350
Mailing Address - Fax:803-269-5350
Practice Address - Street 1:2212 DEVINE ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29205-2402
Practice Address - Country:US
Practice Address - Phone:803-269-5350
Practice Address - Fax:803-269-5350
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health