MEDICARE: SHERDALE LATRICE SCOTT 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	101YM0800X	Mental Health Counselor	0704014211	VA

General Provider Information

NPI Number	:	1437918539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERDALE LATRICE SCOTT LPC

Provider Business Mailing Address
First Line	:	409 SPANISH GROVE RD
Second Line	:
City	:	CHASE CITY
State	:	VA
Zip	:	23924-3906
Country	:	US
Telephone Number	:	434-210-2016
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 SPANISH GROVE RD
Second Line	:
City	:	CHASE CITY
State	:	VA
Zip	:	23924-3906
Country	:	US
Telephone Number	:	434-210-2016
Fax Number	:

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

Provider Enumeration Date	:	03/19/2024
Last Update Date	:	05/22/2024

Similar Medicare Providers

1275380974 — TRANQUILITY THERAPY
Practice Location Address:

409 SPANISH GROVE RD
CHASE CITY, VA
23924-3906

Practice Phone: 434-210-2016
Practice Fax:

1275513251 — CIRCLE TREATMENT CENTER PC
Practice Location Address:

3309 SHIRLEY LN
CHEVY CHASE, MD
20815-3906

Practice Phone: 301-258-2626
Practice Fax: 301-654-1612

1255301495 — DR. ROSALIND GOLDFARB PHD CCDC
Practice Location Address:

3309 SHIRLEY LN
CHEVY CHASE, MD
20815-3906

Practice Phone: 301-258-2626
Practice Fax: 301-654-1612

1821956210 — HEALTHY LIVING SUPPLY LLC
Practice Location Address:

710 OVERLOOK RD
CHASE CITY, VA
23924-1506

Practice Phone: 434-865-1056
Practice Fax:

1841294493 — RANDALL H SUSLICK MD
Practice Location Address:

946 N MAIN ST
CHASE CITY, VA
23924-1139

Practice Phone: 434-372-5141
Practice Fax: 434-372-8910

1770588212 — JOHNNA S. THOMAS MD
Practice Location Address:

946 N MAIN ST
CHASE CITY, VA
23924-1139

Practice Phone: 434-372-5141
Practice Fax: 434-372-8910

Directions to “ SHERDALE LATRICE SCOTT 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.