Provider Demographics
NPI:1588822597
Name:PHILLIPS, SHERI LYNNE (NCC; MS)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:LYNNE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:NCC; MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6744 AMETHYST LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-1934
Mailing Address - Country:US
Mailing Address - Phone:214-695-7788
Mailing Address - Fax:972-527-0392
Practice Address - Street 1:1500 S CENTRAL EXPY STE 609
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3868
Practice Address - Country:US
Practice Address - Phone:214-695-7788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-27
Last Update Date:2008-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62402101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health