Provider Demographics
NPI:1184908618
Name:ROOFIAN, SHERIN MATIAN (LMFT)
Entity type:Individual
Prefix:
First Name:SHERIN
Middle Name:MATIAN
Last Name:ROOFIAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:SHERIN
Other - Middle Name:
Other - Last Name:MATIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1350 E FLAMINGO RD # 616
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-5263
Mailing Address - Country:US
Mailing Address - Phone:310-488-1493
Mailing Address - Fax:
Practice Address - Street 1:1481 W WARM SPRINGS RD STE 132
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89014-7653
Practice Address - Country:US
Practice Address - Phone:702-608-6557
Practice Address - Fax:702-568-7554
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF #75409106H00000X
NV01434106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist