Provider Demographics
NPI:1023603222
Name:HARRIS, SHERRI LAVONNE (MS, QMHP)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:LAVONNE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:MS, QMHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 COPPER KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-3393
Mailing Address - Country:US
Mailing Address - Phone:860-258-9000
Mailing Address - Fax:
Practice Address - Street 1:2203 LOCKS LANDING CRES
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23323-4041
Practice Address - Country:US
Practice Address - Phone:757-337-0224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-09
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral