Provider Demographics
NPI:1134475338
Name:SHERLOCK, TARAMI KATHRYN (LLPC)
Entity type:Individual
Prefix:MRS
First Name:TARAMI
Middle Name:KATHRYN
Last Name:SHERLOCK
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 E BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-2701
Mailing Address - Country:US
Mailing Address - Phone:989-222-5833
Mailing Address - Fax:
Practice Address - Street 1:600 E BROADWAY ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2701
Practice Address - Country:US
Practice Address - Phone:989-772-5833
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013018101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor