Healthcare Provider Details
I. General information
NPI: 1306012703
Provider Name (Legal Business Name): SHERRI LEE NAYLOR LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/06/2008
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1330 W 26TH ST
ERIE PA
16508-1402
US
IV. Provider business mailing address
3858 WALKER BLVD
ERIE PA
16509-1627
US
V. Phone/Fax
- Phone: 814-451-2247
- Fax:
- Phone: 814-844-4127
- Fax: 814-454-7780
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC004867 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: