Provider Demographics
NPI:1679997092
Name:WALSH, SHERRY ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:ELIZABETH
Last Name:WALSH
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:ELIZABETH
Other - Last Name:FISCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6750 WEST LOOP S STE 950
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4124
Mailing Address - Country:US
Mailing Address - Phone:832-778-6750
Mailing Address - Fax:281-200-9765
Practice Address - Street 1:6750 WEST LOOP S STE 950
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-4124
Practice Address - Country:US
Practice Address - Phone:832-778-6750
Practice Address - Fax:832-778-6752
Is Sole Proprietor?:No
Enumeration Date:2014-02-05
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11866101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional