Provider Demographics
NPI:1124200415
Name:HURWITZ, SHERRY B (LMFT)
Entity type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:B
Last Name:HURWITZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3120 N OAK STREET EXT
Mailing Address - Street 2:SUITE C
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-5909
Mailing Address - Country:US
Mailing Address - Phone:229-671-6140
Mailing Address - Fax:229-671-6740
Practice Address - Street 1:3120 N OAK STREET EXT
Practice Address - Street 2:SUITE C
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-5909
Practice Address - Country:US
Practice Address - Phone:229-671-6140
Practice Address - Fax:229-671-6740
Is Sole Proprietor?:No
Enumeration Date:2007-11-29
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000111101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor