Provider Demographics
NPI:1831439496
Name:QUICK, SHARON JEANETTE (LCAS-A)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:JEANETTE
Last Name:QUICK
Suffix:
Gender:F
Credentials:LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 TARA DRIVE
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-9691
Mailing Address - Country:US
Mailing Address - Phone:910-610-8306
Mailing Address - Fax:910-401-1809
Practice Address - Street 1:118 C JAMES STREET
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-2697
Practice Address - Country:US
Practice Address - Phone:910-291-0078
Practice Address - Fax:910-401-1809
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2728-A101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health