Healthcare Provider Details

I. General information

NPI: 1396609194
Provider Name (Legal Business Name): SYDNEY E SHERMAN LCDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 S ZARZAMORA ST STE 209
SAN ANTONIO TX
78207-5248
US

IV. Provider business mailing address

700 S ZARZAMORA ST STE 209
SAN ANTONIO TX
78207-5248
US

V. Phone/Fax

Practice location:
  • Phone: 210-822-9493
  • Fax:
Mailing address:
  • Phone: 210-822-9493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number17013
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: