Provider Demographics
NPI:1730640137
Name:RIED, SHERRITA (LCMHC)
Entity Type:Individual
Prefix:
First Name:SHERRITA
Middle Name:
Last Name:RIED
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:SHERRITA
Other - Middle Name:
Other - Last Name:HEDGEPETH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:#1315
Mailing Address - Street 2:5075 MORGANTON RD STE 10C
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-6190
Mailing Address - Country:US
Mailing Address - Phone:910-835-7751
Mailing Address - Fax:
Practice Address - Street 1:#1315
Practice Address - Street 2:5075 MORGANTON RD STE 10C
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-6190
Practice Address - Country:US
Practice Address - Phone:910-835-7751
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-28
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14560101YP2500X
NC14560101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional