Provider Demographics
NPI:1336498047
Name:MILLER, SHARON LYNN (PHD LMHC, LCCT)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNN
Last Name:MILLER
Suffix:
Gender:F
Credentials:PHD LMHC, LCCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 GAILE AVE
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32305-5202
Mailing Address - Country:US
Mailing Address - Phone:850-764-1150
Mailing Address - Fax:833-975-0096
Practice Address - Street 1:319 GAILE AVE
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32305-5202
Practice Address - Country:US
Practice Address - Phone:850-764-1150
Practice Address - Fax:833-975-0096
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-10
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLMH13813101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselor