Healthcare Provider Details

I. General information

NPI: 1912262999
Provider Name (Legal Business Name): KYLENE SHARPTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KYLENE WHITEMAN LCSW

II. Dates (important events)

Enumeration Date: 07/06/2012
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1115 E TYLER ST
ATHENS TX
75751-2145
US

IV. Provider business mailing address

1222 10TH ST STE 211
WOODWARD OK
73801-3156
US

V. Phone/Fax

Practice location:
  • Phone: 903-292-5015
  • Fax: 903-292-5021
Mailing address:
  • Phone: 580-256-9700
  • Fax: 580-256-9704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: