MEDICARE: MRS. SIERRA ANN MCCORMICK

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	101YM0800X	Mental Health Counselor	88003144A	IN

General Provider Information

NPI Number	:	1144175456
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SIERRA ANN MCCORMICK

Provider Business Mailing Address
First Line	:	2024 VOGEL RD
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47711-4842
Country	:	US
Telephone Number	:	812-401-0797
Fax Number	:

Provider Business Practice Location Address
First Line	:	2211 N BURKHARDT RD STE A
Second Line	:
City	:	EVANSVILLE
State	:	IN
Zip	:	47715-2194
Country	:	US
Telephone Number	:	812-401-0797
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ MRS. SIERRA ANN MCCORMICK ” Practice Location

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