Healthcare Provider Details

I. General information

NPI: 1427629526
Provider Name (Legal Business Name): KERI SITRICK HEALTH COACHING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2021
Last Update Date: 10/22/2021
Certification Date: 10/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3241 E SHEA BLVD STE 7
PHOENIX AZ
85028-3335
US

IV. Provider business mailing address

5444 E SANDRA TER
SCOTTSDALE AZ
85254-1154
US

V. Phone/Fax

Practice location:
  • Phone: 847-636-1704
  • Fax:
Mailing address:
  • Phone: 847-636-1704
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: KERI SITRICK
Title or Position: HEALTH AND WELLNESS COACH
Credential: MA, FMCHC, NBC-HWC
Phone: 847-636-1704