Provider Demographics
NPI:1972971877
Name:SHARPE, WILLIAM NEIL (LMFT)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:NEIL
Last Name:SHARPE
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1112 GLEAVES GLEN DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT JULIET
Mailing Address - State:TN
Mailing Address - Zip Code:37122-3443
Mailing Address - Country:US
Mailing Address - Phone:615-424-1480
Mailing Address - Fax:
Practice Address - Street 1:1112 GLEAVES GLEN DR
Practice Address - Street 2:
Practice Address - City:MOUNT JULIET
Practice Address - State:TN
Practice Address - Zip Code:37122-3443
Practice Address - Country:US
Practice Address - Phone:615-424-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN965106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist