Provider Demographics
NPI:1073841128
Name:GRADY, SHERRI STOKES (LPC, LPCS)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:STOKES
Last Name:GRADY
Suffix:
Gender:F
Credentials:LPC, LPCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:745 JOHNNIE DODDS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3071
Mailing Address - Country:US
Mailing Address - Phone:843-330-8408
Mailing Address - Fax:843-284-8277
Practice Address - Street 1:745 JOHNNIE DODDS BLVD STE A
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3071
Practice Address - Country:US
Practice Address - Phone:843-330-8408
Practice Address - Fax:843-284-8277
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3195101YP2500X
SC4093101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional