Provider Demographics
NPI:1285216465
Name:VESTER, SHARALYN RAE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHARALYN
Middle Name:RAE
Last Name:VESTER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHARALYN
Other - Middle Name:RAE
Other - Last Name:BYRD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:POLK CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33868-0057
Mailing Address - Country:US
Mailing Address - Phone:863-258-5569
Mailing Address - Fax:
Practice Address - Street 1:10180 SLAUGHTERHOUSE RD
Practice Address - Street 2:
Practice Address - City:POLK CITY
Practice Address - State:FL
Practice Address - Zip Code:33868-9726
Practice Address - Country:US
Practice Address - Phone:863-258-5569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-27
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH20224101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional