Provider Demographics
NPI:1982205589
Name:SHERRICK, TAYLOR (MS)
Entity Type:Individual
Prefix:
First Name:TAYLOR
Middle Name:
Last Name:SHERRICK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4685 MERLE HAY RD STE 103
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1982
Mailing Address - Country:US
Mailing Address - Phone:641-203-6360
Mailing Address - Fax:
Practice Address - Street 1:4685 MERLE HAY RD STE 108
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50322-1982
Practice Address - Country:US
Practice Address - Phone:641-203-6360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-02
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101185101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor