Provider Demographics
NPI:1275870032
Name:MCCULLAH CASBEER, SHERI (PCC-S, LICDC)
Entity Type:Individual
Prefix:MS
First Name:SHERI
Middle Name:
Last Name:MCCULLAH CASBEER
Suffix:
Gender:F
Credentials:PCC-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11440 HAMILTON AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-6103
Mailing Address - Country:US
Mailing Address - Phone:513-648-9596
Mailing Address - Fax:513-648-9586
Practice Address - Street 1:11440 HAMILTON AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-6103
Practice Address - Country:US
Practice Address - Phone:513-648-9596
Practice Address - Fax:513-648-9586
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-12
Last Update Date:2017-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0007825 SUPV101YP2500X
OHICDC.981299-CS101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)