Provider Demographics
NPI:1205040367
Name:RAULS, SHERRI ANN (LICENSED MENTAL HEAL)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:ANN
Last Name:RAULS
Suffix:
Gender:F
Credentials:LICENSED MENTAL HEAL
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:ANN
Other - Last Name:BROWN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:848 ASH DRIVE
Mailing Address - Street 2:SHERRI ANN RAULS
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2670
Mailing Address - Country:US
Mailing Address - Phone:850-432-1043
Mailing Address - Fax:
Practice Address - Street 1:4300 BAYOU BLVD
Practice Address - Street 2:MADISON PARK OFFICE COMPLEX SUITE 35
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2670
Practice Address - Country:US
Practice Address - Phone:850-479-6080
Practice Address - Fax:850-479-3011
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL000262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health