MEDICARE: MRS. SHARON REID LPC-MHSP

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	101YP2500X	Professional Counselor	LPC 0000002674	TN
2	101YM0800X	Mental Health Counselor	2674	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1679636096
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON REID LPC-MHSP

Provider Business Mailing Address
First Line	:	200 TECH CENTER DR
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37912-2747
Country	:	US
Telephone Number	:	865-637-9711
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 W 3RD NORTH ST BLDG 1
Second Line	:
City	:	MORRISTOWN
State	:	TN
Zip	:	37814-4038
Country	:	US
Telephone Number	:	423-581-4761
Fax Number	:

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	04/24/2024

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