Provider Demographics
NPI:1861091639
Name:SHARPER, RENEE ANTOINETTE (LPC)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:ANTOINETTE
Last Name:SHARPER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2617 RED FERN DR
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-8837
Mailing Address - Country:US
Mailing Address - Phone:254-444-9707
Mailing Address - Fax:
Practice Address - Street 1:2617 RED FERN DR
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8837
Practice Address - Country:US
Practice Address - Phone:254-444-9707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-22
Last Update Date:2020-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80667101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional