Provider Demographics
NPI:1689317539
Name:NICHOLS-WOODWARD, SHERI LEE (LPC-S)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LEE
Last Name:NICHOLS-WOODWARD
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 LIVE OAK CT
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:77320-3071
Mailing Address - Country:US
Mailing Address - Phone:936-661-4891
Mailing Address - Fax:
Practice Address - Street 1:10 LIVE OAK CT
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:TX
Practice Address - Zip Code:77320-3071
Practice Address - Country:US
Practice Address - Phone:936-661-4891
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional