MEDICARE: REBECCA L SHERFEY LPC-MHSP

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	5611	TN

General Provider Information

NPI Number	:	1538808910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA L SHERFEY LPC-MHSP

Provider Business Mailing Address
First Line	:	501 UNION ST STE 545
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37219-1876
Country	:	US
Telephone Number	:	423-430-9350
Fax Number	:

Provider Business Practice Location Address
First Line	:	2020 NORTHPARK DR STE 1G
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37604-3127
Country	:	US
Telephone Number	:	423-759-7091
Fax Number	:	423-232-2714

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

Provider Enumeration Date	:	06/02/2022
Last Update Date	:	04/10/2026

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