Healthcare Provider Details

I. General information

NPI: 1184653586
Provider Name (Legal Business Name): SARAH JEAN HERRING LGSW, LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 VETERANS AVE
BILOXI MS
39531-2410
US

IV. Provider business mailing address

4616 LEWIS ST
GULFPORT MS
39501-1204
US

V. Phone/Fax

Practice location:
  • Phone: 228-523-5000
  • Fax: 228-523-5336
Mailing address:
  • Phone: 228-229-3342
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number2090G
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberM5608
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: