Provider Demographics
NPI:1710422936
Name:SHARON GAYLE COUNSELING
Entity Type:Organization
Organization Name:SHARON GAYLE COUNSELING
Other - Org Name:SPRINGBRIDGE COUNSELING & CONSULTING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GAYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:972-809-8272
Mailing Address - Street 1:4700 N JOSEY LN
Mailing Address - Street 2:4121
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75010-4693
Mailing Address - Country:US
Mailing Address - Phone:972-363-3618
Mailing Address - Fax:
Practice Address - Street 1:4700 N JOSEY LN
Practice Address - Street 2:4121
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75010-4693
Practice Address - Country:US
Practice Address - Phone:972-363-3618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-24
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71239101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
TX12818101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty