MEDICARE: BELINDA JOY SHARP MS, LMHC,LPC

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	101YM0800X	Mental Health Counselor	IMH8721	FL
2	101YM0800X	Mental Health Counselor	MH11626	FL
3	101YM0800X	Mental Health Counselor	LPC011699	GA

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	:	1063540755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELINDA JOY SHARP MS, LMHC,LPC

Provider Business Mailing Address
First Line	:	30 TUPELO TRL
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-6910
Country	:	US
Telephone Number	:	772-678-2683
Fax Number	:

Provider Business Practice Location Address
First Line	:	345 W MEMORIAL DR
Second Line	:
City	:	HINESVILLE
State	:	GA
Zip	:	31313-2413
Country	:	US
Telephone Number	:	912-456-2002
Fax Number	:	772-220-3484

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

Provider Enumeration Date	:	03/02/2007
Last Update Date	:	12/13/2023

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