Provider Demographics
NPI:1063833812
Name:HOLLINGSHEAD, SHERYL L (LPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:L
Last Name:HOLLINGSHEAD
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 1:2219 S 67TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72903-4014
Mailing Address - Country:US
Mailing Address - Phone:479-420-5159
Mailing Address - Fax:479-420-5159
Practice Address - Street 1:101 N 11TH ST APT 242
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-2451
Practice Address - Country:US
Practice Address - Phone:479-420-5159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-20
Last Update Date:2024-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1608119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional