Provider Demographics
NPI:1851790125
Name:SHERI A. FAYTON, LPC, NCC
Entity Type:Organization
Organization Name:SHERI A. FAYTON, LPC, NCC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FAYTON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, NCC
Authorized Official - Phone:757-575-7690
Mailing Address - Street 1:816 GREENBRIER CIR.
Mailing Address - Street 2:SUITE 209
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-0647
Mailing Address - Country:US
Mailing Address - Phone:757-410-0072
Mailing Address - Fax:757-962-3920
Practice Address - Street 1:816 GREENBRIER CIR.
Practice Address - Street 2:SUITE 209
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-0647
Practice Address - Country:US
Practice Address - Phone:757-410-0072
Practice Address - Fax:757-962-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-22
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005811251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA600954565Medicaid