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General NPI Number Information
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NPI Number | 1124363775
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Entity Type | Individual
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Provider Name | SHARNITA WHITE LMHC
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Gender | Female
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Dates
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Enumeration Date | 12/10/2012
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 1027 S VANDEVENTER AVE STE 618
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City | SAINT LOUIS
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State | MO
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Zip | 63110-3800
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Country | US
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Telephone | 772-773-0065
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Fax | 949-655-5979
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Provider Business Mailing Address
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Address Line | 10922 SCHUETZ RD
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City | SAINT LOUIS
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State | MO
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Zip | 63146-5704
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Country | US
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Telephone | 813-557-4701
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2022025329
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2022025329
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | MH18285
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | MH18285
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH18285
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License Number State | FL
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