MEDICARE: MRS. SHERRI ROUND MA, LPC, MHC, QMHP,

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	6401018222	MI

General Provider Information

NPI Number	:	1558819276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRI ROUND MA, LPC, MHC, QMHP,

Provider Business Mailing Address
First Line	:	7507 MANSFIELD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-4814
Country	:	US
Telephone Number	:	313-717-9733
Fax Number	:

Provider Business Practice Location Address
First Line	:	7507 MANSFIELD ST
Second Line	:
City	:	DETROIT
State	:	MI
Zip	:	48228-4814
Country	:	US
Telephone Number	:	313-717-9733
Fax Number	:

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

Provider Enumeration Date	:	09/12/2016
Last Update Date	:	03/11/2026

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