Provider Demographics
NPI:1750054581
Name:UGOH, SHERMANNA LASHAYLA
Entity Type:Individual
Prefix:
First Name:SHERMANNA
Middle Name:LASHAYLA
Last Name:UGOH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22815 ALDERDALE LN
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-1164
Mailing Address - Country:US
Mailing Address - Phone:832-253-4485
Mailing Address - Fax:
Practice Address - Street 1:22815 ALDERDALE LN
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-1164
Practice Address - Country:US
Practice Address - Phone:832-253-4485
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-28
Last Update Date:2021-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX663911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical