Provider Demographics
NPI:1427471036
Name:SCHANZENBAKER, SHERRIE (LLPC, MED, FLE)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:
Last Name:SCHANZENBAKER
Suffix:
Gender:F
Credentials:LLPC, MED, FLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MICHIGAN AVE E
Mailing Address - Street 2:
Mailing Address - City:BATTLE CREEK
Mailing Address - State:MI
Mailing Address - Zip Code:49017-4010
Mailing Address - Country:US
Mailing Address - Phone:269-967-2760
Mailing Address - Fax:269-704-5927
Practice Address - Street 1:40 MICHIGAN AVE E
Practice Address - Street 2:
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49017-4010
Practice Address - Country:US
Practice Address - Phone:269-967-2760
Practice Address - Fax:269-704-5927
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-03
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014033101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional