Healthcare Provider Details

I. General information

NPI: 1982035200
Provider Name (Legal Business Name): SHERRIE ANN KLEINHOLZ LPCC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 E CARR ST
MILAN IN
47031-8864
US

IV. Provider business mailing address

413 E CARR ST STE 5
MILAN IN
47031-8864
US

V. Phone/Fax

Practice location:
  • Phone: 513-560-1444
  • Fax:
Mailing address:
  • Phone: 513-560-1444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC6113
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE.1200175-S
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39004857A
License Number StateIN
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTLC2430PC
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: