Provider Demographics
NPI:1912126574
Name:SEMRAU, SHERRY WHATLEY
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:WHATLEY
Last Name:SEMRAU
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SHERRY
Other - Middle Name:
Other - Last Name:SEMRAU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-MSHP
Mailing Address - Street 1:3806 SAINT PHILIP DR
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-0935
Mailing Address - Country:US
Mailing Address - Phone:901-262-4635
Mailing Address - Fax:
Practice Address - Street 1:3806 SAINT PHILIP DR
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-0935
Practice Address - Country:US
Practice Address - Phone:901-262-4635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2007-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNTN LN # 1805101YP2500X
TNTN #1805101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional