Provider Demographics
NPI:1063208163
Name:MAY, SHERRY LYNN (COUNSELOR)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:MAY
Suffix:
Gender:
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:IKES FORK
Mailing Address - State:WV
Mailing Address - Zip Code:24845-0071
Mailing Address - Country:US
Mailing Address - Phone:304-946-1112
Mailing Address - Fax:
Practice Address - Street 1:1609 W 3RD AVE
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:WV
Practice Address - Zip Code:25661-3006
Practice Address - Country:US
Practice Address - Phone:304-443-4562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)