Provider Demographics
NPI:1144860784
Name:ABU-SHARR, KALILA (LCMHC)
Entity type:Individual
Prefix:
First Name:KALILA
Middle Name:
Last Name:ABU-SHARR
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2880 SLATER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6400
Mailing Address - Country:US
Mailing Address - Phone:484-682-9281
Mailing Address - Fax:
Practice Address - Street 1:2880 SLATER RD STE 100
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6400
Practice Address - Country:US
Practice Address - Phone:484-682-9281
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-12
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC14258101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health