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General NPI Number Information
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NPI Number | 1639602089
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Entity Type | Organization
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Legal Business Name | SHARON GAYLE COUNSELING, LLC
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 09/27/2024
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Provider Practice Location Address
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Address Line | 2835 KELLER SPRINGS RD APT 107
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City | CARROLLTON
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State | TX
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Zip | 75006-4897
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Country | US
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Telephone | 469-892-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 2835 KELLER SPRINGS RD APT 107
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City | CARROLLTON
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State | TX
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Zip | 75006-4897
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Country | US
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Telephone | 469-892-8011
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Fax | 972-381-4201
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Authorized Official
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Title or Position | OWNER
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Name | SHARON GAYLE
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Credential | LPC
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Telephone | 972-809-8272
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 71239
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License Number State | TX
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