Provider Demographics
NPI:1215395124
Name:CHATHAM, SHERRI M (LPC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:M
Last Name:CHATHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:WORCESTER
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:660 LAKELAND EAST DR STE 200
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9777
Mailing Address - Country:US
Mailing Address - Phone:601-502-7984
Mailing Address - Fax:601-707-5068
Practice Address - Street 1:660 LAKELAND EAST DR STE 200
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9777
Practice Address - Country:US
Practice Address - Phone:601-502-7984
Practice Address - Fax:601-300-6203
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health