Provider Demographics
NPI:1922118009
Name:SITLER, SHARON LYNN (LMHC LPC NCC MA)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:LYNN
Last Name:SITLER
Suffix:
Gender:F
Credentials:LMHC LPC NCC MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:325 EBENEZER ROAD
Mailing Address - Street 2:EBENEZER COUNSELING SERVICES
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923
Mailing Address - Country:US
Mailing Address - Phone:865-670-0988
Mailing Address - Fax:865-670-1991
Practice Address - Street 1:325 EBENEZER ROAD
Practice Address - Street 2:EBENEZER COUNSELING SERVICES
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923
Practice Address - Country:US
Practice Address - Phone:865-670-0988
Practice Address - Fax:865-670-1991
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8075101YM0800X
TN2119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4143658OtherBCBS