Provider Demographics
NPI:1336442318
Name:STOOPS, SHERYL A (LCPC)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:A
Last Name:STOOPS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10665 STANHAVEN PL
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-3055
Mailing Address - Country:US
Mailing Address - Phone:240-435-6089
Mailing Address - Fax:301-893-8737
Practice Address - Street 1:10665 STANHAVEN PL
Practice Address - Street 2:SUITE 300A
Practice Address - City:WHITE PLAINS
Practice Address - State:MD
Practice Address - Zip Code:20695-3055
Practice Address - Country:US
Practice Address - Phone:240-435-6089
Practice Address - Fax:301-893-8737
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-13
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0940101YM0800X
VA0701004670101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health