Provider Demographics
NPI:1427817220
Name:DAVIS, SHARON JEAN (LCMHCA)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:JEAN
Last Name:DAVIS
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7647 NC HIGHWAY 61
Mailing Address - Street 2:
Mailing Address - City:BROWNS SUMMIT
Mailing Address - State:NC
Mailing Address - Zip Code:27214-9520
Mailing Address - Country:US
Mailing Address - Phone:336-254-0760
Mailing Address - Fax:
Practice Address - Street 1:7647 NC HIGHWAY 61
Practice Address - Street 2:
Practice Address - City:BROWNS SUMMIT
Practice Address - State:NC
Practice Address - Zip Code:27214-9520
Practice Address - Country:US
Practice Address - Phone:336-254-0760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19484101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health