Provider Demographics
NPI:1346032984
Name:SHARP, TIMOTHY BRIAN JR
Entity type:Individual
Prefix:
First Name:TIMOTHY
Middle Name:BRIAN
Last Name:SHARP
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 S AARON UNIT 246
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-3792
Mailing Address - Country:US
Mailing Address - Phone:480-327-8785
Mailing Address - Fax:
Practice Address - Street 1:1355 N GREENFIELD RD
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4073
Practice Address - Country:US
Practice Address - Phone:480-937-2860
Practice Address - Fax:480-900-8773
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health