Provider Demographics
NPI:1740495845
Name:HYLES, SHARON SUE (LMFT, LMHC)
Entity type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:SUE
Last Name:HYLES
Suffix:
Gender:F
Credentials:LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 S BLUE LAKE AVE
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-6203
Mailing Address - Country:US
Mailing Address - Phone:386-943-8888
Mailing Address - Fax:
Practice Address - Street 1:402 S BLUE LAKE AVE
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-6203
Practice Address - Country:US
Practice Address - Phone:386-943-8888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6368101YM0800X
FLMT 1835106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist