Provider Demographics
NPI:1760025159
Name:HUGHART POLHEMUS, SHERRI RENEE (LPC)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:RENEE
Last Name:HUGHART POLHEMUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 GLENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:NEW KENSINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15068-4921
Mailing Address - Country:US
Mailing Address - Phone:724-881-0688
Mailing Address - Fax:
Practice Address - Street 1:2644 LEECHBURG RD FL 2
Practice Address - Street 2:
Practice Address - City:LOWER BURRELL
Practice Address - State:PA
Practice Address - Zip Code:15068-3087
Practice Address - Country:US
Practice Address - Phone:412-417-8160
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-18
Last Update Date:2019-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011887101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional