Provider Demographics
NPI:1689616781
Name:BALL, SHERRI JOANNE (LPC, LMFT)
Entity Type:Individual
Prefix:MS
First Name:SHERRI
Middle Name:JOANNE
Last Name:BALL
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:MS
Other - First Name:SHERRI
Other - Middle Name:JOANNE
Other - Last Name:PHENICIE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, LMFT
Mailing Address - Street 1:20 W BANK ST STE 5
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-3279
Mailing Address - Country:US
Mailing Address - Phone:804-862-8002
Mailing Address - Fax:804-863-1695
Practice Address - Street 1:20 W BANK ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-3279
Practice Address - Country:US
Practice Address - Phone:804-863-1689
Practice Address - Fax:804-863-1695
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0717000373106H00000X
VA0701002622101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist