Provider Demographics
NPI:1730991076
Name:SHARP, MICHELLE (MED, LMHC)
Entity type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:
Last Name:SHARP
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4103 S MEADOW WOOD CT
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-8650
Mailing Address - Country:US
Mailing Address - Phone:317-670-3314
Mailing Address - Fax:
Practice Address - Street 1:2279 S 600 W
Practice Address - Street 2:
Practice Address - City:NEW PALESTINE
Practice Address - State:IN
Practice Address - Zip Code:46163-9791
Practice Address - Country:US
Practice Address - Phone:317-861-4487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39005298A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health