MEDICARE: SHERYL DIANE SPAHR LMHC

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	101YM0800X	Mental Health Counselor	LH 60249521	WA

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	:	1235417007
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL DIANE SPAHR LMHC

Provider Business Mailing Address
First Line	:	PO BOX 2429
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-8486
Country	:	US
Telephone Number	:	360-353-9422
Fax Number	:	360-575-1950

Provider Business Practice Location Address
First Line	:	PO BOX 2429
Second Line	:
City	:	LONGVIEW
State	:	WA
Zip	:	98632-8486
Country	:	US
Telephone Number	:	360-353-9422
Fax Number	:	360-575-1950

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

Provider Enumeration Date	:	07/28/2011
Last Update Date	:	08/28/2025

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