Provider Demographics
NPI:1902418270
Name:SHARON S BYLER COUNSELING, LLC
Entity Type:Organization
Organization Name:SHARON S BYLER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPCC
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:S
Authorized Official - Last Name:BYLER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:330-763-1472
Mailing Address - Street 1:1511 3RD ST SE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44707-3246
Mailing Address - Country:US
Mailing Address - Phone:330-763-1472
Mailing Address - Fax:888-920-2638
Practice Address - Street 1:1511 3RD ST SE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44707-3246
Practice Address - Country:US
Practice Address - Phone:330-763-1472
Practice Address - Fax:888-920-2638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0219433Medicaid