Provider Demographics
NPI:1962823864
Name:THOMAS SHERRY LCSW PA
Entity Type:Organization
Organization Name:THOMAS SHERRY LCSW PA
Other - Org Name:ASHEVILLE FAMILY SYSTEMS ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST AND OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS, CCS
Authorized Official - Phone:828-545-1358
Mailing Address - Street 1:775 HAYWOOD RD STE I
Mailing Address - Street 2:STE I
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28806-7111
Mailing Address - Country:US
Mailing Address - Phone:828-545-1358
Mailing Address - Fax:
Practice Address - Street 1:775 HAYWOOD RD
Practice Address - Street 2:STE I
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-7111
Practice Address - Country:US
Practice Address - Phone:828-545-1358
Practice Address - Fax:336-419-4534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-18
Last Update Date:2013-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC003660251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health