MEDICARE: SHERYL MICHELLE STENGER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	C.1700775	OH

General Provider Information

NPI Number	:	1124531983
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL MICHELLE STENGER

Provider Business Mailing Address
First Line	:	205 W HARRISON AVE
Second Line	:
City	:	WEST HARRISON
State	:	IN
Zip	:	47060-1037
Country	:	US
Telephone Number	:	812-209-9256
Fax Number	:

Provider Business Practice Location Address
First Line	:	8833 CINCINNATI DAYTON RD STE 105
Second Line	:
City	:	WEST CHESTER
State	:	OH
Zip	:	45069-7106
Country	:	US
Telephone Number	:	513-438-0067
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2017
Last Update Date	:	11/14/2017

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