Healthcare Provider Details

I. General information

NPI: 1760301410
Provider Name (Legal Business Name): SHERRY BRENNAN CPC-I
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 MOUNTAIN ST
CARSON CITY NV
89703-3819
US

IV. Provider business mailing address

PO BOX 342
SILVER SPRINGS NV
89429-0342
US

V. Phone/Fax

Practice location:
  • Phone: 775-453-0333
  • Fax: 775-799-3337
Mailing address:
  • Phone: 775-344-8293
  • Fax: 775-799-3337

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCI5822
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: