Provider Demographics
NPI:1063712438
Name:LAMBIASE, SHERRI D (RN, LPC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:D
Last Name:LAMBIASE
Suffix:
Gender:F
Credentials:RN, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 LOUIS PASTEUR, STE 110, #12
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-4547
Mailing Address - Country:US
Mailing Address - Phone:210-789-7683
Mailing Address - Fax:210-979-6054
Practice Address - Street 1:7210 LOUIS PASTEUR, STE 110, #12
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-7247
Practice Address - Country:US
Practice Address - Phone:210-789-7683
Practice Address - Fax:210-979-6054
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64997101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX281693601Medicaid