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NPI Code Detail

MEDICARE: SHERRIE BAISDEN

MEDICARE: SHERRIE BAISDEN
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.194780OH
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1194351916
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERRIE BAISDEN
Provider Business Mailing Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-426-4705
Fax Number :
Provider Business Practice Location Address
First Line : 5460 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-4074
Country : US
Telephone Number : 614-426-4705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2020
Last Update Date : 01/06/2026

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Directions to “ SHERRIE BAISDEN ” Practice Location

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