Provider Demographics
NPI:1235251349
Name:SHERMAN COUNSELING MANAGEMENT, S.C.
Entity Type:Organization
Organization Name:SHERMAN COUNSELING MANAGEMENT, S.C.
Other - Org Name:SHERMAN COUNSELING MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR, PRESIDENT, SECRETARY, AND
Authorized Official - Prefix:
Authorized Official - First Name:ELLIOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-605-4986
Mailing Address - Street 1:W6144 AEROTECH DRIVE
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-7503
Mailing Address - Country:US
Mailing Address - Phone:920-230-2065
Mailing Address - Fax:920-230-6565
Practice Address - Street 1:W6144 AEROTECH DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-7503
Practice Address - Country:US
Practice Address - Phone:920-230-2065
Practice Address - Fax:920-230-6565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2181-057103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty