Provider Demographics
NPI:1437343498
Name:SHARPE, CHARLOTTE FRYE (MA, MFT ASSOCIATE)
Entity type:Individual
Prefix:MRS
First Name:CHARLOTTE
Middle Name:FRYE
Last Name:SHARPE
Suffix:
Gender:F
Credentials:MA, MFT ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:506 7TH ST NE
Mailing Address - Street 2:
Mailing Address - City:CONOVER
Mailing Address - State:NC
Mailing Address - Zip Code:28613-1691
Mailing Address - Country:US
Mailing Address - Phone:828-320-4121
Mailing Address - Fax:
Practice Address - Street 1:4431 COUNTY HOME RD
Practice Address - Street 2:
Practice Address - City:CONOVER
Practice Address - State:NC
Practice Address - Zip Code:28613-9641
Practice Address - Country:US
Practice Address - Phone:828-256-5056
Practice Address - Fax:828-256-4031
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5054A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist