MEDICARE: SHERRY SHEFFIELD

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	101Y00000X	Counselor	75588	TX

General Provider Information

NPI Number	:	1831647312
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERRY SHEFFIELD

Provider Business Mailing Address
First Line	:	4101 MCEWEN RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5112
Country	:	US
Telephone Number	:	832-739-5800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4101 MCEWEN RD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75244-5112
Country	:	US
Telephone Number	:	832-739-5800
Fax Number	:

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

Provider Enumeration Date	:	09/14/2016
Last Update Date	:	04/05/2021

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Directions to “ SHERRY SHEFFIELD ” Practice Location

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