Provider Demographics
NPI:1841845708
Name:CARTER, SHARA LYNN (MAED, NCC)
Entity type:Individual
Prefix:MS
First Name:SHARA
Middle Name:LYNN
Last Name:CARTER
Suffix:
Gender:F
Credentials:MAED, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:256 SEABOARD LN STE E102
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-4816
Mailing Address - Country:US
Mailing Address - Phone:703-795-8792
Mailing Address - Fax:
Practice Address - Street 1:256 SEABOARD LN STE E102
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-4816
Practice Address - Country:US
Practice Address - Phone:703-570-5951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-07
Last Update Date:2021-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008541101Y00000X
TNLPC0000005239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor