Provider Demographics
NPI:1215904503
Name:SHARP, JANET L (MA, LPCC-S)
Entity type:Individual
Prefix:MR
First Name:JANET
Middle Name:L
Last Name:SHARP
Suffix:
Gender:F
Credentials:MA, LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2710 DERBYSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44106-3319
Mailing Address - Country:US
Mailing Address - Phone:216-321-5920
Mailing Address - Fax:216-321-5920
Practice Address - Street 1:2710 DERBYSHIRE RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44106-3319
Practice Address - Country:US
Practice Address - Phone:216-321-5920
Practice Address - Fax:216-321-5920
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0001191-SUPV101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH469548OtherVALUEOPTIONS
OH000000374088OtherANTHEM
OH7797068OtherAETNA
OH280450OtherMANAGED HEALTH NETWORK
OH1-9H-13611OtherHORIZON BEHAVIORAL HEALTH