Healthcare Provider Details

I. General information

NPI: 1376421677
Provider Name (Legal Business Name): SHARON RENEE TOHLINE PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

THE GROVE RECOVERY CENTER 7384 JOHN LEBLANC BLVD
SORRENTO LA
70778
US

IV. Provider business mailing address

381 BANCROFT WAY
BATON ROUGE LA
70808-4804
US

V. Phone/Fax

Practice location:
  • Phone: 225-310-2600
  • Fax:
Mailing address:
  • Phone: 225-485-5765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number242768
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: