MEDICARE: MADILYN YVETTE SHERBROOKE

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	6851117265	MI

General Provider Information

NPI Number	:	1588522015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADILYN YVETTE SHERBROOKE

Provider Business Mailing Address
First Line	:	685 W MARSHALL ST
Second Line	:
City	:	FERNDALE
State	:	MI
Zip	:	48220-1854
Country	:	US
Telephone Number	:	248-291-7216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1130 TIENKEN CT STE 223
Second Line	:
City	:	ROCHESTER HILLS
State	:	MI
Zip	:	48306-4370
Country	:	US
Telephone Number	:	248-291-7216
Fax Number	:

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

Provider Enumeration Date	:	01/13/2026
Last Update Date	:	01/13/2026

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Directions to “ MADILYN YVETTE SHERBROOKE ” Practice Location

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