MEDICARE: MS. SHARON GATES-ALBERT LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	1485	MS

General Provider Information

NPI Number	:	1487950978
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHARON GATES-ALBERT LPC

Provider Business Mailing Address
First Line	:	PO BOX 24
Second Line	:
City	:	BELDEN
State	:	MS
Zip	:	38826-0024
Country	:	US
Telephone Number	:	662-322-3898
Fax Number	:	662-844-6136

Provider Business Practice Location Address
First Line	:	1800 W MAIN ST
Second Line	:
City	:	TUPELO
State	:	MS
Zip	:	38801-3254
Country	:	US
Telephone Number	:	662-322-3898
Fax Number	:	662-844-6136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2011
Last Update Date	:	04/15/2024

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