MEDICARE: SHERRAL HARDING 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	101YP2500X	Professional Counselor	0701009055	VA

General Provider Information

NPI Number	:	1700490240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRAL HARDING LPC

Provider Business Mailing Address
First Line	:	1532 CRESCENT POINTE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-2053
Country	:	US
Telephone Number	:	948-888-2344
Fax Number	:

Provider Business Practice Location Address
First Line	:	1532 CRESCENT POINTE LN
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23453-2053
Country	:	US
Telephone Number	:	948-888-2344
Fax Number	:

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

Provider Enumeration Date	:	09/02/2020
Last Update Date	:	06/01/2023

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