Provider Demographics
NPI:1851979124
Name:SHERMER, CALLIE CIERRA (PLPC, PLMFT)
Entity Type:Individual
Prefix:
First Name:CALLIE
Middle Name:CIERRA
Last Name:SHERMER
Suffix:
Gender:F
Credentials:PLPC, PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17013 JAMESTOWNE DR
Mailing Address - Street 2:
Mailing Address - City:PRAIRIEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70769-4858
Mailing Address - Country:US
Mailing Address - Phone:318-787-3306
Mailing Address - Fax:
Practice Address - Street 1:2133 SILVERSIDE DR STE G
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4179
Practice Address - Country:US
Practice Address - Phone:225-810-3922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-30
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLC9043101YP2500X
171M00000X
LAPLM1463106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator