Provider Demographics
NPI:1548357874
Name:STONE-SPRINGS, SHARON ANN (LCMHC & LCAS)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:ANN
Last Name:STONE-SPRINGS
Suffix:
Gender:F
Credentials:LCMHC & LCAS
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:STONE-SPRINGS DOCKERY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC & LCAS
Mailing Address - Street 1:7490 HWY 87
Mailing Address - Street 2:
Mailing Address - City:REIDSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27320-8815
Mailing Address - Country:US
Mailing Address - Phone:336-349-8848
Mailing Address - Fax:336-349-8854
Practice Address - Street 1:7490 HWY 87
Practice Address - Street 2:
Practice Address - City:REIDSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27320-8815
Practice Address - Country:US
Practice Address - Phone:336-349-8848
Practice Address - Fax:336-349-8854
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS1091101YP2500X
NC1091101YA0400X
NCLCMHC5355101YM0800X, 101YP2500X
NC5355101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6103241Medicaid