Provider Demographics
NPI:1972838365
Name:SHAROMI, SHERIAN ALECIA
Entity Type:Individual
Prefix:MRS
First Name:SHERIAN
Middle Name:ALECIA
Last Name:SHAROMI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHERIAN
Other - Middle Name:ALECIA
Other - Last Name:WAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5950 LIVE OAK PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-1743
Mailing Address - Country:US
Mailing Address - Phone:678-582-8947
Mailing Address - Fax:770-461-0507
Practice Address - Street 1:5950 LIVE OAK PKWY STE 240
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-1743
Practice Address - Country:US
Practice Address - Phone:678-582-8947
Practice Address - Fax:770-461-0507
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0055241041C0700X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty