Provider Demographics
NPI:1477763126
Name:SHARP, SAMANTHA (LPC-S)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:SHARP
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30022
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72260-0001
Mailing Address - Country:US
Mailing Address - Phone:501-737-4320
Mailing Address - Fax:870-770-7177
Practice Address - Street 1:1200 BRIDGES AVE E
Practice Address - Street 2:
Practice Address - City:WYNNE
Practice Address - State:AR
Practice Address - Zip Code:72396-2449
Practice Address - Country:US
Practice Address - Phone:501-737-4320
Practice Address - Fax:870-770-7177
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARA0509071101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health