Provider Demographics
NPI:1831496546
Name:LASH, SHERYL BEATY (PHD, LPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:BEATY
Last Name:LASH
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 PINEDALE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-2017
Mailing Address - Country:US
Mailing Address - Phone:336-288-9900
Mailing Address - Fax:336-288-3177
Practice Address - Street 1:2709 PINEDALE RD
Practice Address - Street 2:SUITE B
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2017
Practice Address - Country:US
Practice Address - Phone:336-288-9900
Practice Address - Fax:336-288-3177
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-15
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC869101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health