Healthcare Provider Details

I. General information

NPI: 1861240269
Provider Name (Legal Business Name): SHIERLOCK PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2024
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 LEINBACH DR STE D2
CHARLESTON SC
29407-7086
US

IV. Provider business mailing address

29 LEINBACH DR STE D2
CHARLESTON SC
29407-7086
US

V. Phone/Fax

Practice location:
  • Phone: 843-604-4577
  • Fax:
Mailing address:
  • Phone: 843-604-4577
  • Fax: 843-242-0324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARIE SHIERLOCK
Title or Position: OWNER
Credential: MD
Phone: 843-604-4577