Provider Demographics
NPI:1215395124
Name:KENT, SHERRI WORCESTER (LPC)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:WORCESTER
Last Name:KENT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:WORCESTER
Other - Last Name:KENT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:665 HIGHWAY 51 STE D
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-2136
Mailing Address - Country:US
Mailing Address - Phone:601-707-5023
Mailing Address - Fax:601-707-5068
Practice Address - Street 1:665 HIGHWAY 51 STE D
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-2136
Practice Address - Country:US
Practice Address - Phone:601-707-5023
Practice Address - Fax:601-707-5068
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1915101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health