Provider Demographics
NPI:1184903155
Name:BENTLEY, SHERRI DIANE (LPCC-S)
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:DIANE
Last Name:BENTLEY
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:D
Other - Last Name:CALDWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPCC
Mailing Address - Street 1:37 PATTON CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PENDLETON
Mailing Address - State:KY
Mailing Address - Zip Code:40055-8947
Mailing Address - Country:US
Mailing Address - Phone:502-648-6988
Mailing Address - Fax:502-331-6062
Practice Address - Street 1:105 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-1215
Practice Address - Country:US
Practice Address - Phone:502-648-6988
Practice Address - Fax:502-331-6062
Is Sole Proprietor?:No
Enumeration Date:2011-08-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY173020101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health