Provider Demographics
NPI:1689138794
Name:SDS COUNSELING LLC
Entity Type:Organization
Organization Name:SDS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEHN-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:812-406-6276
Mailing Address - Street 1:590 MISSOURI AVENUE
Mailing Address - Street 2:SUITE 206-F
Mailing Address - City:JEFFERSONVILLE, INDIANA
Mailing Address - State:IN
Mailing Address - Zip Code:47130
Mailing Address - Country:US
Mailing Address - Phone:812-406-6276
Mailing Address - Fax:812-748-5084
Practice Address - Street 1:590 MISSOURI AVE STE 206F
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-3084
Practice Address - Country:US
Practice Address - Phone:812-406-6276
Practice Address - Fax:812-748-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-23
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare