MEDICARE: SHERI RUTLEDGE

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	86086	TX

General Provider Information

NPI Number	:	1376111203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERI RUTLEDGE

Provider Business Mailing Address
First Line	:	13073 WOOD HARBOUR DR
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77356-8048
Country	:	US
Telephone Number	:	832-573-3571
Fax Number	:

Provider Business Practice Location Address
First Line	:	25511 BUDDE RD UNIT 401402
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-2080
Country	:	US
Telephone Number	:	281-748-0233
Fax Number	:

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

Provider Enumeration Date	:	06/16/2021
Last Update Date	:	06/16/2021

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Directions to “ SHERI RUTLEDGE ” Practice Location

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