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NPI Code Detail

MEDICARE: SHELBY SHARP M.S., LPC, LAC, MFTC

MEDICARE: SHELBY SHARP M.S., LPC, LAC, MFTC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorACD.0001398CO
2106H00000XMarriage & Family TherapistMFTC.0014439CO
3101YP2500XProfessional CounselorLPC.0017308CO

General Provider Information

NPI Number : 1841826880
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY SHARP M.S., LPC, LAC, MFTC
Provider Business Mailing Address
First Line : 2913 S VAUGHN WAY
Second Line :
City : AURORA
State : CO
Zip : 80014-3438
Country : US
Telephone Number : 720-421-3789
Fax Number :
Provider Business Practice Location Address
First Line : 1325 S COLORADO BLVD STE B705
Second Line :
City : DENVER
State : CO
Zip : 80222-3383
Country : US
Telephone Number : 720-307-4502
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2020
Last Update Date : 07/03/2025

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