Provider Demographics
NPI:1669858833
Name:HENSLEY, SHERI K (BS, MS)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:K
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:BS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 COTTONWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BERTHOUD
Mailing Address - State:CO
Mailing Address - Zip Code:80513-8534
Mailing Address - Country:US
Mailing Address - Phone:620-255-3318
Mailing Address - Fax:
Practice Address - Street 1:1530 BOISE AVE STE 203B
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4240
Practice Address - Country:US
Practice Address - Phone:970-541-0890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2017-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103K00000X
CONLC.0106220103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst