Provider Demographics
NPI:1912395476
Name:STEVENS, SHERI RAMONA (MSSA LISW-S)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:RAMONA
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MSSA LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13940 CEDAR RD.
Mailing Address - Street 2:#248
Mailing Address - City:UNIVERSITY HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3204
Mailing Address - Country:US
Mailing Address - Phone:216-379-3865
Mailing Address - Fax:
Practice Address - Street 1:2101 RICHMOND RD STE 1005
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1390
Practice Address - Country:US
Practice Address - Phone:216-379-3865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-06
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-2102742-SUPV101YM0800X
OHS 0023362101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health