Provider Demographics
NPI:1518089853
Name:COHEN, SHERRI M (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:M
Last Name:COHEN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3648 EPPING FOREST WAY
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1280
Mailing Address - Country:US
Mailing Address - Phone:410-428-0759
Mailing Address - Fax:
Practice Address - Street 1:744 DULANEY VALLEY RD
Practice Address - Street 2:SUITE 15
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-5132
Practice Address - Country:US
Practice Address - Phone:410-296-4575
Practice Address - Fax:410-296-4576
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0873101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM638-0001OtherBLUE CHOICE PROVIDER #
MD164CMIOtherCAREFIRST BCBS PROVIDER #