Provider Demographics
NPI:1639456916
Name:WHITE, SHERRA MCMILLAN (MS, LPC, LCAS-A, CRC)
Entity Type:Individual
Prefix:MRS
First Name:SHERRA
Middle Name:MCMILLAN
Last Name:WHITE
Suffix:
Gender:F
Credentials:MS, LPC, LCAS-A, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2044A CAMBRIA DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0089
Mailing Address - Country:US
Mailing Address - Phone:336-608-9021
Mailing Address - Fax:
Practice Address - Street 1:2300 BEASLEY DRIVE, DOCTORS PARK 6A
Practice Address - Street 2:BRODY SCHOOL OF MED, ECU-DIVISION OF INFECTIOUS DISEASE
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834
Practice Address - Country:US
Practice Address - Phone:252-744-3256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-14
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC00113626101Y00000X
NC2874-A101YA0400X
NC8607101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health