Provider Demographics
NPI:1194219550
Name:CALHOUN, SHERRY RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:RENEE
Last Name:CALHOUN
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 1:501 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23661-1529
Mailing Address - Country:US
Mailing Address - Phone:757-303-9494
Mailing Address - Fax:
Practice Address - Street 1:1919 COMMERCE DR STE 480
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4298
Practice Address - Country:US
Practice Address - Phone:757-851-0101
Practice Address - Fax:757-851-0202
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-19
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701007740101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional