Healthcare Provider Details

I. General information

NPI: 1013684398
Provider Name (Legal Business Name): SHARION PHELPS LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5887 GLENRIDGE DR STE 230
ATLANTA GA
30328-9929
US

IV. Provider business mailing address

5887 GLENRIDGE DR STE 230
SANDY SPRINGS GA
30328-9929
US

V. Phone/Fax

Practice location:
  • Phone: 678-201-5889
  • Fax:
Mailing address:
  • Phone: 678-201-5889
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMFT002094
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT002094
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: