Provider Demographics
NPI:1477842474
Name:BEETS, SHARON KAY (MS)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:BEETS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7352 E 111TH PL S
Mailing Address - Street 2:
Mailing Address - City:BIXBY
Mailing Address - State:OK
Mailing Address - Zip Code:74008-2145
Mailing Address - Country:US
Mailing Address - Phone:918-752-4403
Mailing Address - Fax:
Practice Address - Street 1:7352 E 111TH PL S
Practice Address - Street 2:
Practice Address - City:BIXBY
Practice Address - State:OK
Practice Address - Zip Code:74008-2145
Practice Address - Country:US
Practice Address - Phone:918-752-4403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor