Provider Demographics
NPI:1679134175
Name:FALK, SHERRY S (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:S
Last Name:FALK
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 6TH AVE N # 100
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-5005
Mailing Address - Country:US
Mailing Address - Phone:206-443-9999
Mailing Address - Fax:206-443-9079
Practice Address - Street 1:215 6TH AVE N # 100
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-5005
Practice Address - Country:US
Practice Address - Phone:206-443-9999
Practice Address - Fax:206-443-9079
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00004280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health