Provider Demographics
NPI:1306947064
Name:MCCARTY, SHARON L (MHA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:L
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:MHA
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:L
Other - Last Name:BRENGARTNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 KOEHLER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:KY
Mailing Address - Zip Code:40033-9388
Mailing Address - Country:US
Mailing Address - Phone:270-402-8259
Mailing Address - Fax:270-440-5398
Practice Address - Street 1:305 KOEHLER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:KY
Practice Address - Zip Code:40033-9388
Practice Address - Country:US
Practice Address - Phone:270-402-8259
Practice Address - Fax:270-440-5398
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY276682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health