Healthcare Provider Details

I. General information

NPI: 1326321878
Provider Name (Legal Business Name): SHERI TEMPLETON HENDON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 09/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 HIGHWAY 78 E MEDICAL ARTS TOWER, SUITE 200
JASPER AL
35501-8907
US

IV. Provider business mailing address

3400 HIGHWAY 78 E MEDICAL ARTS TOWER, SUITE 200
JASPER AL
35501-8907
US

V. Phone/Fax

Practice location:
  • Phone: 205-384-0141
  • Fax: 205-384-0171
Mailing address:
  • Phone: 205-384-0141
  • Fax: 205-384-0171

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2381C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: