Provider Demographics
NPI:1437781382
Name:COFFMAN, SHERI LYNNE (LPC)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNNE
Last Name:COFFMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3183 BEAVER VU DR STE C
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6385
Mailing Address - Country:US
Mailing Address - Phone:937-431-8014
Mailing Address - Fax:
Practice Address - Street 1:3183 BEAVER VU DR STE C
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6385
Practice Address - Country:US
Practice Address - Phone:937-431-8014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-09
Last Update Date:2020-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.2002476101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty