Healthcare Provider Details

I. General information

NPI: 1215841457
Provider Name (Legal Business Name): SIERRAH MONE VOLL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

437 MELODYBROOK CT
LEXINGTON SC
29073-9772
US

IV. Provider business mailing address

437 MELODYBROOK CT
LEXINGTON SC
29073-9772
US

V. Phone/Fax

Practice location:
  • Phone: 864-804-4066
  • Fax: 866-568-8043
Mailing address:
  • Phone: 864-804-4066
  • Fax: 866-568-8043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-26-2844289
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: