Provider Demographics
NPI:1548818347
Name:SHARMA, MINALI (LCPC)
Entity type:Individual
Prefix:
First Name:MINALI
Middle Name:
Last Name:SHARMA
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11907 SKYLARK RD
Mailing Address - Street 2:
Mailing Address - City:CLARKSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20871-9374
Mailing Address - Country:US
Mailing Address - Phone:240-513-9709
Mailing Address - Fax:
Practice Address - Street 1:11907 SKYLARK RD
Practice Address - Street 2:
Practice Address - City:CLARKSBURG
Practice Address - State:MD
Practice Address - Zip Code:20871
Practice Address - Country:US
Practice Address - Phone:240-513-9709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP9793101YP2500X
MDLC12301101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional