Provider Demographics
NPI:1265028468
Name:SHERYLL ELLERY LLC
Entity Type:Organization
Organization Name:SHERYLL ELLERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEYLL
Authorized Official - Middle Name:A
Authorized Official - Last Name:ELLERY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-446-7818
Mailing Address - Street 1:10 WENDELL AVENUE EXT STE 209
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-6283
Mailing Address - Country:US
Mailing Address - Phone:413-446-7818
Mailing Address - Fax:
Practice Address - Street 1:10 WENDELL AVENUE EXT STE 209
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-6283
Practice Address - Country:US
Practice Address - Phone:413-446-7818
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-12
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty