Provider Demographics
NPI:1174139810
Name:PARKER, SHERYL N (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:N
Last Name:PARKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MRS
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 522
Mailing Address - Street 2:
Mailing Address - City:BROWNSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:75756-0522
Mailing Address - Country:US
Mailing Address - Phone:903-944-8122
Mailing Address - Fax:
Practice Address - Street 1:13147 COUNTY ROAD 3606
Practice Address - Street 2:
Practice Address - City:BROWNSBORO
Practice Address - State:TX
Practice Address - Zip Code:75756-6537
Practice Address - Country:US
Practice Address - Phone:903-944-8122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80662101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX85-2462945OtherINTERNAL REVENUE SERVICE