Provider Demographics
NPI:1073167516
Name:SHERWOOD, EMILY MARIE (LPCC)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:MARIE
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 LEATHERWOOD CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365-9491
Mailing Address - Country:US
Mailing Address - Phone:937-710-4272
Mailing Address - Fax:
Practice Address - Street 1:3210 LEATHERWOOD CREEK RD
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365-9491
Practice Address - Country:US
Practice Address - Phone:937-419-1118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-01
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2303675101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health