Provider Demographics
NPI:1598398885
Name:TAMMY SHERRARD, LLC
Entity Type:Organization
Organization Name:TAMMY SHERRARD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SHERRARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-310-9265
Mailing Address - Street 1:13313 FOUNTAIN HEAD RD
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-2614
Mailing Address - Country:US
Mailing Address - Phone:240-310-9265
Mailing Address - Fax:240-203-6182
Practice Address - Street 1:223 N PROSPECT ST STE 407
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-3785
Practice Address - Country:US
Practice Address - Phone:240-310-9265
Practice Address - Fax:240-203-6182
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-15
Last Update Date:2020-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health