Provider Demographics
NPI:1902865140
Name:SHERWOOD, CONSTANCE C (EDD LPCC)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:C
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:EDD LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7475 ALGONQUIN DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-3517
Mailing Address - Country:US
Mailing Address - Phone:513-271-3095
Mailing Address - Fax:
Practice Address - Street 1:8000 5 MILE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45230-2163
Practice Address - Country:US
Practice Address - Phone:513-232-3070
Practice Address - Fax:513-232-5794
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health