Doctor Name: | SHARON GAYLE |
NPI Number: | 1053744797 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, LCDC |
License Number: | 12818 |
Business Practice Address: | 2901 Corporate Cir Flower Mound, TX - 750285625 |
Business Phone Number: | 9728098272 |
Business Fax Number: | |
Mailing Address: | 2625 N Josey Ln, Ste 250 CARROLLTON |
State: | TX |
Postal Code: | 750075543 |
Phone Number: | 9724662800 |
Fax Number: | 9724662810 |
NPI Enumeration Date: | 08/16/2013 |
NPI Last Update Date: | 02/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 12818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |