Provider Demographics
NPI:1992336481
Name:SHARE MORE CTC, LLC
Entity type:Organization
Organization Name:SHARE MORE CTC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:SHARRA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPC
Authorized Official - Phone:405-201-8159
Mailing Address - Street 1:2000 N BROADWAY ST STE B
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-4416
Mailing Address - Country:US
Mailing Address - Phone:405-201-8159
Mailing Address - Fax:405-793-1081
Practice Address - Street 1:2000 N BROADWAY ST STE B
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-4416
Practice Address - Country:US
Practice Address - Phone:405-201-8159
Practice Address - Fax:405-793-1081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-03
Last Update Date:2020-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health