Provider Demographics
NPI:1851487052
Name:KNOX, SHERRY LAURONDA (LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LAURONDA
Last Name:KNOX
Suffix:
Gender:F
Credentials:LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 S CHURCH ST STE 15
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37130-4917
Mailing Address - Country:US
Mailing Address - Phone:615-573-1186
Mailing Address - Fax:
Practice Address - Street 1:304 STATE HIGHWAY 15 S
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:MS
Practice Address - Zip Code:38652-5209
Practice Address - Country:US
Practice Address - Phone:662-538-0157
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1042101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional