Provider Demographics
NPI:1407290109
Name:SHERMAN, LA'CUANA MATRIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:LA'CUANA
Middle Name:MATRIA
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8457 TAYLOR RD
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-4440
Mailing Address - Country:US
Mailing Address - Phone:404-644-2970
Mailing Address - Fax:678-868-1111
Practice Address - Street 1:8455 HIGHWAY 85
Practice Address - Street 2:BUILDING 200 SUITE B
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-5115
Practice Address - Country:US
Practice Address - Phone:678-768-5993
Practice Address - Fax:678-868-1111
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-24
Last Update Date:2018-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007272101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional