Provider Demographics
NPI:1225816978
Name:DOBSON, SHERYL (COUNSELOR, MA)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:
Last Name:DOBSON
Suffix:
Gender:F
Credentials:COUNSELOR, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11345 TARA BLVD SUITE D #238
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-6488
Mailing Address - Country:US
Mailing Address - Phone:678-829-6346
Mailing Address - Fax:
Practice Address - Street 1:11345 TARA BLVD STE D
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:GA
Practice Address - Zip Code:30228-6488
Practice Address - Country:US
Practice Address - Phone:678-829-6346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA7190134101YP1600X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral