Provider Demographics
NPI:1073847950
Name:SHARP, HOWARD R (LPC)
Entity type:Individual
Prefix:
First Name:HOWARD
Middle Name:R
Last Name:SHARP
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300594
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-0010
Mailing Address - Country:US
Mailing Address - Phone:512-745-6350
Mailing Address - Fax:
Practice Address - Street 1:1007 MOPAC CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6864
Practice Address - Country:US
Practice Address - Phone:512-745-6350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-25
Last Update Date:2009-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXLPC 18637101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional