Provider Demographics
NPI:1730184664
Name:BATES, SHARON WOOD (LPC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:WOOD
Last Name:BATES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5524 BEE CAVE RD
Mailing Address - Street 2:STE I2
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5246
Mailing Address - Country:US
Mailing Address - Phone:512-328-6885
Mailing Address - Fax:830-598-5977
Practice Address - Street 1:5524 BEE CAVE RD
Practice Address - Street 2:STE I2
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5246
Practice Address - Country:US
Practice Address - Phone:512-328-6885
Practice Address - Fax:830-598-5977
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX09967101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health