Provider Demographics
NPI:1922813153
Name:RAY, SHERI D (CADAC CAPRC)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:D
Last Name:RAY
Suffix:
Gender:F
Credentials:CADAC CAPRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 FAIRMONT AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-3739
Mailing Address - Country:US
Mailing Address - Phone:502-240-7296
Mailing Address - Fax:
Practice Address - Street 1:1806 E 10TH ST
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-6478
Practice Address - Country:US
Practice Address - Phone:812-946-0416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN635195101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)