Provider Demographics
NPI:1588724801
Name:SHERYL J. FREEMAN, LTD.
Entity type:Organization
Organization Name:SHERYL J. FREEMAN, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHERYL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:952-435-5782
Mailing Address - Street 1:15017 ORCHARD DR
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55306-4939
Mailing Address - Country:US
Mailing Address - Phone:952-435-5782
Mailing Address - Fax:952-435-5782
Practice Address - Street 1:14581 GRAND AVE STE 204
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55306-5733
Practice Address - Country:US
Practice Address - Phone:952-435-5782
Practice Address - Fax:952-435-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN351R0FROtherBLUECROSS BLUESHIELD
MN244794OtherCOMPSYCH