Provider Demographics
NPI:1891928933
Name:SHERMAN, STEPHANIE G (MC, LPC, LISAC)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:G
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:MC, LPC, LISAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2708
Mailing Address - Street 2:
Mailing Address - City:CAREFREE
Mailing Address - State:AZ
Mailing Address - Zip Code:85377-2708
Mailing Address - Country:US
Mailing Address - Phone:602-697-8256
Mailing Address - Fax:
Practice Address - Street 1:36422 SIDEWINDER RD
Practice Address - Street 2:
Practice Address - City:CAREFREE
Practice Address - State:AZ
Practice Address - Zip Code:85377-2708
Practice Address - Country:US
Practice Address - Phone:602-697-8256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-24
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC-11867101YA0400X
AZLPC-13262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)