Provider Demographics
NPI:1124252242
Name:LAVELOCK, SHERYL LYNN (MS, PLPC)
Entity type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:LYNN
Last Name:LAVELOCK
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:MISS
Other - First Name:SHERYL
Other - Middle Name:LYNN
Other - Last Name:GILLILAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19819 S HICKORY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:MO
Mailing Address - Zip Code:64080-9134
Mailing Address - Country:US
Mailing Address - Phone:816-726-2320
Mailing Address - Fax:
Practice Address - Street 1:4635 WYANDOTTE ST
Practice Address - Street 2:STE. 204
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1509
Practice Address - Country:US
Practice Address - Phone:816-726-2320
Practice Address - Fax:816-561-2100
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2021-03-15
Deactivation Date:2012-07-11
Deactivation Code:
Reactivation Date:2021-03-15
Provider Licenses
StateLicense IDTaxonomies
MO2009008725101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor