Provider Demographics
NPI:1730893876
Name:FANCHER, SHERRY LYNN (LPC)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNN
Last Name:FANCHER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 FIRETHORN CT
Mailing Address - Street 2:
Mailing Address - City:BURLESON
Mailing Address - State:TX
Mailing Address - Zip Code:76028-1385
Mailing Address - Country:US
Mailing Address - Phone:972-900-2279
Mailing Address - Fax:
Practice Address - Street 1:528 FIRETHORN CT
Practice Address - Street 2:
Practice Address - City:BURLESON
Practice Address - State:TX
Practice Address - Zip Code:76028-1385
Practice Address - Country:US
Practice Address - Phone:972-900-2279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional