Provider Demographics
NPI:1417198607
Name:FELTON, SHERRI LYNN (MS LPC)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LYNN
Last Name:FELTON
Suffix:
Gender:F
Credentials:MS LPC
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:LYNN
Other - Last Name:FELTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS LPC
Mailing Address - Street 1:7150 W CACTUS FLOWER PASS
Mailing Address - Street 2:
Mailing Address - City:MARANA
Mailing Address - State:AZ
Mailing Address - Zip Code:85658-4975
Mailing Address - Country:US
Mailing Address - Phone:520-485-9640
Mailing Address - Fax:
Practice Address - Street 1:7618 N LA CHOLLA BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741
Practice Address - Country:US
Practice Address - Phone:520-485-9640
Practice Address - Fax:888-965-7743
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ16037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health