Provider Demographics
NPI:1811189244
Name:COBARRUVIAS, SHERI (LPC-S)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:
Last Name:COBARRUVIAS
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 1:1001 PAT BOOKER RD
Mailing Address - Street 2:STE 208
Mailing Address - City:UNIVERSAL CITY
Mailing Address - State:TX
Mailing Address - Zip Code:78148-4154
Mailing Address - Country:US
Mailing Address - Phone:210-849-7199
Mailing Address - Fax:210-236-5899
Practice Address - Street 1:1001 PAT BOOKER RD
Practice Address - Street 2:STE 208
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-4154
Practice Address - Country:US
Practice Address - Phone:210-849-7199
Practice Address - Fax:210-236-5899
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2013-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61420101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional