Healthcare Provider Details

I. General information

NPI: 1124363775
Provider Name (Legal Business Name): SHARNITA WHITE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2012
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1027 S VANDEVENTER AVE STE 618
SAINT LOUIS MO
63110-3800
US

IV. Provider business mailing address

10922 SCHUETZ RD
SAINT LOUIS MO
63146-5704
US

V. Phone/Fax

Practice location:
  • Phone: 772-773-0065
  • Fax: 949-655-5979
Mailing address:
  • Phone: 813-557-4701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License NumberMH18285
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2022025329
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2022025329
License Number StateMO
# 4
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH18285
License Number StateFL
# 5
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberMH18285
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: