MEDICARE: SHERRY LYNNE RANDOLPH M.A., LPC

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	101YP2500X	Professional Counselor	19478	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	84640L	OTHER	TX	BLUE CROSS BLUE SHIELD #

General Provider Information

NPI Number	:	1154473080
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY LYNNE RANDOLPH M.A., LPC

Provider Business Mailing Address
First Line	:	7 EDGEWOOD LN
Second Line	:
City	:	CANYON
State	:	TX
Zip	:	79015-2111
Country	:	US
Telephone Number	:	806-655-7753
Fax Number	:	806-358-4345

Provider Business Practice Location Address
First Line	:	4211 W INTERSTATE 40
Second Line	:	STE 203
City	:	AMARILLO
State	:	TX
Zip	:	79106-6053
Country	:	US
Telephone Number	:	806-374-5950
Fax Number	:	806-358-4345

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1568518512 — MRS. CATHY T. BURNS LPC
Practice Location Address:

4211 I-40 W , SUITE 203
AMARILLO, TX
79106-6053

Practice Phone: 806-350-5867
Practice Fax: 806-358-4345

1114073426 — VIRGINIA L MONK LPC
Practice Location Address:

4211 W INTERSTATE 40 , SUITE 203
AMARILLO, TX
79106-6053

Practice Phone: 806-374-5950
Practice Fax: 806-358-4345

1437273232 — MRS. SHARON ANNE HARGRAVE M.A.
Practice Location Address:

4211 W INTERSTATE 40 , SUITE 203
AMARILLO, TX
79106-6053

Practice Phone: 806-374-5950
Practice Fax: 806-358-4345

1467572453 — SANDRA SCOTT PERKINS LPC
Practice Location Address:

4211 W INTERSTATE 40
AMARILLO, TX
79106-6053

Practice Phone: 806-374-5950
Practice Fax: 806-358-4345

1144629569 — WIB NEWTON, PLLC
Practice Location Address:

4211 W I 40 , SUITE 203
AMARILLO, TX
79106-6053

Practice Phone: 806-374-5950
Practice Fax: 806-358-4345

1881159721 — BONNIE LYNN SKELTON LPC
Practice Location Address:

4211 W I 40
AMARILLO, TX
79106-6053

Practice Phone: 806-374-5950
Practice Fax:

Directions to “ SHERRY LYNNE RANDOLPH M.A., LPC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.