Individual
SHARON BROWN LYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
534 E 5TH AVE, KENBRIDGE, VA 23944-2051
(434) 676-8900
Mailing address
534 E 5TH AVE, KENBRIDGE, VA 23944-2051
(434) 676-8900
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PPS-0600673
VA
101YS0200X
School Counselor
1973
NC
101YS0200X
School Counselor
PPS-0600673
VA
103T00000X
Psychologist
PPS-0600673
VA
103TS0200X
School Psychologist
0813000437
VA
103TS0200X
School Psychologist
1973
NC
103TS0200X
School Psychologist
Primary
PPS-0600673
VA
171M00000X
Case Manager/Care Coordinator
PPS-0600673
VA
172V00000X
Community Health Worker
PPS-0600673
VA
174H00000X
Health Educator
PPS-0600673
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0813000437
—
VA
Enumeration date
02/06/2012
Last updated
12/09/2016
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