Provider Demographics
NPI:1528588415
Name:PATTERSON, SHERI LANE (LMHC)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LANE
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:L
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:227 N DIXIE WAY STE 240
Mailing Address - Street 2:
Mailing Address - City:SOUTH BEND
Mailing Address - State:IN
Mailing Address - Zip Code:46637-3300
Mailing Address - Country:US
Mailing Address - Phone:574-252-9623
Mailing Address - Fax:574-520-1503
Practice Address - Street 1:227 N DIXIE WAY STE 240
Practice Address - Street 2:
Practice Address - City:SOUTH BEND
Practice Address - State:IN
Practice Address - Zip Code:46637-3300
Practice Address - Country:US
Practice Address - Phone:574-252-9623
Practice Address - Fax:574-520-1530
Is Sole Proprietor?:No
Enumeration Date:2017-06-22
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003006A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health