Healthcare Provider Details

I. General information

NPI: 1134649361
Provider Name (Legal Business Name): SHARIKA NATASHA PRUITT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 S 5TH ST STE A
GADSDEN AL
35901-4259
US

IV. Provider business mailing address

307 S 5TH ST STE A
GADSDEN AL
35901-4259
US

V. Phone/Fax

Practice location:
  • Phone: 256-393-0705
  • Fax: 205-238-6663
Mailing address:
  • Phone: 256-399-4302
  • Fax: 205-238-6663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC013969
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number3735
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: