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NPI 1962291492

NPI 1962291492 : SHERRY MERIDETH MS, LPC-MHSP (TEMP) : BRENTWOOD, TN

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General NPI Number Information
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    NPI Number           |    1962291492
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    Entity Type          |    Individual 
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    Provider Name        |    SHERRY MERIDETH MS, LPC-MHSP (TEMP)
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    Gender               |     
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Dates
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    Enumeration Date     |    05/01/2025
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    103 CONTINENTAL PL STE 400 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-1073
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    Country              |    US
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    Telephone            |    615-813-1824
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    602 FOXBOROUGH SQ W 
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    City                 |    BRENTWOOD
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    State                |    TN
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    Zip                  |    37027-5765
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    Country              |    US
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    Telephone            |    615-496-2296
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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