Healthcare Provider Details

I. General information

NPI: 1720910912
Provider Name (Legal Business Name): SHARELL BAILEY-TROXLER
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 WESLEY POINT DR
BROWNS SUMMIT NC
27214-9893
US

IV. Provider business mailing address

3601 WESLEY POINT DR
BROWNS SUMMIT NC
27214-9893
US

V. Phone/Fax

Practice location:
  • Phone: 336-707-1499
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA22119
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: