MEDICARE: SHERRIE L BASS

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	A20667	NC

General Provider Information

NPI Number	:	1568321909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRIE L BASS

Provider Business Mailing Address
First Line	:	1031 W WILLIAMS ST STE 102
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-3955
Country	:	US
Telephone Number	:	919-439-9693
Fax Number	:

Provider Business Practice Location Address
First Line	:	1031 W WILLIAMS ST STE 102
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27502-3955
Country	:	US
Telephone Number	:	919-439-9693
Fax Number	:

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

Provider Enumeration Date	:	01/21/2026
Last Update Date	:	01/21/2026

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Directions to “ SHERRIE L BASS ” Practice Location

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