Provider Demographics
NPI:1679271159
Name:SHARP, HARLEY MAY (CDCA)
Entity type:Individual
Prefix:
First Name:HARLEY
Middle Name:MAY
Last Name:SHARP
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:813 BRYDEN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1759
Mailing Address - Country:US
Mailing Address - Phone:614-808-3198
Mailing Address - Fax:614-334-3666
Practice Address - Street 1:813 BRYDEN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-1759
Practice Address - Country:US
Practice Address - Phone:614-808-3198
Practice Address - Fax:614-334-3666
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)