MEDICARE: SHARON STEVENS LPCA

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	101YP2500X	Professional Counselor	14506	NC

General Provider Information

NPI Number	:	1497227870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON STEVENS LPCA

Provider Business Mailing Address
First Line	:	215 N PINE ST UNIT 2602
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28202-2082
Country	:	US
Telephone Number	:	704-201-2047
Fax Number	:

Provider Business Practice Location Address
First Line	:	1994 UNIVERSITY CITY CHURCH DR
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8236
Country	:	US
Telephone Number	:	704-201-2047
Fax Number	:

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

Provider Enumeration Date	:	12/22/2018
Last Update Date	:	12/22/2018

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