Provider Demographics
NPI:1316285141
Name:PYLE, SHARON C (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:C
Last Name:PYLE
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 1:6202 S. LEWIS
Mailing Address - Street 2:SUITE A
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136
Mailing Address - Country:US
Mailing Address - Phone:918-949-4515
Mailing Address - Fax:918-949-4523
Practice Address - Street 1:6202 S. LEWIS
Practice Address - Street 2:SUITE A
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136
Practice Address - Country:US
Practice Address - Phone:918-949-4515
Practice Address - Fax:918-949-4523
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-29
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4591101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200472810BMedicaid