Provider Demographics
NPI:1669007548
Name:HICKS, SHERYL (LCPC)
Entity Type:Individual
Prefix:DR
First Name:SHERYL
Middle Name:
Last Name:HICKS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:DR
Other - First Name:RENE
Other - Middle Name:
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCPC
Mailing Address - Street 1:11140 ROCKVILLE PIKE STE 100-585
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3106
Mailing Address - Country:US
Mailing Address - Phone:301-938-7310
Mailing Address - Fax:
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 100-585
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3106
Practice Address - Country:US
Practice Address - Phone:240-499-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-11
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health