Provider Demographics
NPI:1891440806
Name:HORAN, SHERRI ANNE (MS NCC NCSC LPC QMHP)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:ANNE
Last Name:HORAN
Suffix:
Gender:F
Credentials:MS NCC NCSC LPC QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2618 MERLOT DR
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5847
Mailing Address - Country:US
Mailing Address - Phone:605-391-6585
Mailing Address - Fax:
Practice Address - Street 1:2618 MERLOT DR
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5847
Practice Address - Country:US
Practice Address - Phone:605-391-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-17
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD7099101YP2500X
SD65050-1101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool