MEDICARE: MS. SHERRY MALANA TODD LPC, ATR, CTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	0701002634	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215941935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRY MALANA TODD LPC, ATR, CTS

Provider Business Mailing Address
First Line	:	PO BOX 1555
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23451-9555
Country	:	US
Telephone Number	:	757-635-3394
Fax Number	:	757-425-4461

Provider Business Practice Location Address
First Line	:	117 W 21ST ST
Second Line	:	SUITE 209
City	:	NORFOLK
State	:	VA
Zip	:	23517-2246
Country	:	US
Telephone Number	:	757-635-3394
Fax Number	:	757-425-4461

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	07/08/2007

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