MEDICARE: MS. SHARRON K HARPER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	13619	TX

General Provider Information

NPI Number	:	1053484493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARRON K HARPER LPC

Provider Business Mailing Address
First Line	:	PO BOX 763309
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75376-3309
Country	:	US
Telephone Number	:	214-734-3453
Fax Number	:	214-855-5114

Provider Business Practice Location Address
First Line	:	2909 COLE AVE
Second Line	:	310
City	:	DALLAS
State	:	TX
Zip	:	75204-1189
Country	:	US
Telephone Number	:	214-734-3453
Fax Number	:	214-855-5114

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	07/08/2007

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