Provider Demographics
NPI:1952820185
Name:MOROE, SHERI J (MA CMHC-A)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:J
Last Name:MOROE
Suffix:
Gender:F
Credentials:MA CMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17714 KINGS POINT DR STE B
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6929
Mailing Address - Country:US
Mailing Address - Phone:704-659-3708
Mailing Address - Fax:
Practice Address - Street 1:801 CAROLYN DR SE
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-3856
Practice Address - Country:US
Practice Address - Phone:704-305-8778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-19
Last Update Date:2022-01-17
Deactivation Date:2021-12-08
Deactivation Code:
Reactivation Date:2022-01-11
Provider Licenses
StateLicense IDTaxonomies
106S00000X
NCA17274101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Multi-Specialty