Provider Demographics
NPI:1558571331
Name:BARBER, SHERILLE DENISE (PHD)
Entity Type:Individual
Prefix:MRS
First Name:SHERILLE
Middle Name:DENISE
Last Name:BARBER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 E MAIN ST APT 201
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-4409
Mailing Address - Country:US
Mailing Address - Phone:704-301-0625
Mailing Address - Fax:336-217-8274
Practice Address - Street 1:2818 QUEEN CITY DR STE H
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28208-2736
Practice Address - Country:US
Practice Address - Phone:704-301-0625
Practice Address - Fax:704-338-3099
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6545101YM0800X, 101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health