Provider Demographics
NPI:1194478529
Name:SHARP, ALEXANDRIA KATHLEEN (LMFTA)
Entity type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:KATHLEEN
Last Name:SHARP
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2189 HYDE DR APT 2189
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8049
Mailing Address - Country:US
Mailing Address - Phone:919-389-0300
Mailing Address - Fax:
Practice Address - Street 1:2189 HYDE DR APT 2189
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-8049
Practice Address - Country:US
Practice Address - Phone:919-389-0300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12382A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist