| Doctor Name: | TINA LANE SHEETS |
| NPI Number: | 1538403910 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0710101457 |
| Business Practice Address: | 641 Carrollwood Dr Woodlawn, VA - 243813539 |
| Business Phone Number: | 2767282070 |
| Business Fax Number: | 2767282161 |
| Mailing Address: | 393 N Main St, SPARTA |
| State: | NC |
| Postal Code: | 286758896 |
| Phone Number: | 3363726083 |
| Fax Number: | 3363721930 |
| NPI Enumeration Date: | 11/26/2012 |
| NPI Last Update Date: | 11/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 0710101457 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |