Provider Demographics
NPI:1053744797
Name:GAYLE, SHARON (LPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:GAYLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2835 KELLER SPRINGS RD APT 107
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4897
Mailing Address - Country:US
Mailing Address - Phone:972-809-8272
Mailing Address - Fax:888-920-1225
Practice Address - Street 1:2835 KELLER SPRINGS RD APT 107
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4897
Practice Address - Country:US
Practice Address - Phone:972-809-8272
Practice Address - Fax:888-920-1225
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12818101YA0400X
TX71239101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)