Provider Demographics
NPI:1497290308
Name:SORRELLS, SHEMEKA FRAZIER (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHEMEKA
Middle Name:FRAZIER
Last Name:SORRELLS
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 1:3335 ANNELAINE DR SW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30311-2903
Mailing Address - Country:US
Mailing Address - Phone:404-641-0906
Mailing Address - Fax:
Practice Address - Street 1:3335 ANNELAINE DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30311-2903
Practice Address - Country:US
Practice Address - Phone:404-641-0906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-31
Last Update Date:2016-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health