Provider Demographics
NPI:1104248426
Name:HARVEY, SHERITA (LMSW)
Entity type:Individual
Prefix:
First Name:SHERITA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41800 HAYES RD STE 208
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-1876
Mailing Address - Country:US
Mailing Address - Phone:586-203-2170
Mailing Address - Fax:888-910-9922
Practice Address - Street 1:41800 HAYES RD STE 208
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-1876
Practice Address - Country:US
Practice Address - Phone:586-203-2170
Practice Address - Fax:888-910-9922
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-07
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801107163104100000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker