Provider Demographics
NPI:1962291492
Name:MERIDETH, SHERRY (MS, LPC-MHSP (TEMP))
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MERIDETH
Suffix:
Gender:
Credentials:MS, LPC-MHSP (TEMP)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 FOXBOROUGH SQ W
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5765
Mailing Address - Country:US
Mailing Address - Phone:615-496-2296
Mailing Address - Fax:
Practice Address - Street 1:103 CONTINENTAL PL STE 400
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-1073
Practice Address - Country:US
Practice Address - Phone:615-813-1824
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health