Provider Demographics
NPI:1114379963
Name:CHRISTOPHER, SHERRI (LMFT)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:CHRISTOPHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 BUCKEYE LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-1745
Mailing Address - Country:US
Mailing Address - Phone:678-481-8271
Mailing Address - Fax:
Practice Address - Street 1:4006 HIGHWAY 34 E
Practice Address - Street 2:
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277
Practice Address - Country:US
Practice Address - Phone:404-960-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT0001296106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist