Provider Demographics
NPI:1447245253
Name:PATE, SHARRON M (LMHC)
Entity Type:Individual
Prefix:
First Name:SHARRON
Middle Name:M
Last Name:PATE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 S BAYLEN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32502-5852
Mailing Address - Country:US
Mailing Address - Phone:850-433-1656
Mailing Address - Fax:850-433-1996
Practice Address - Street 1:229 S BAYLEN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32502-5852
Practice Address - Country:US
Practice Address - Phone:850-433-1656
Practice Address - Fax:850-433-1996
Is Sole Proprietor?:No
Enumeration Date:2005-09-19
Last Update Date:2008-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health