Provider Demographics
NPI:1427849397
Name:GASKIN, SHERRILL
Entity type:Individual
Prefix:
First Name:SHERRILL
Middle Name:
Last Name:GASKIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 7TH PL NE
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:AL
Mailing Address - Zip Code:35215-3920
Mailing Address - Country:US
Mailing Address - Phone:205-427-3143
Mailing Address - Fax:205-427-3143
Practice Address - Street 1:2413 7TH PL NE
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:AL
Practice Address - Zip Code:35215-3920
Practice Address - Country:US
Practice Address - Phone:205-427-3143
Practice Address - Fax:205-427-3143
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALLPC05460101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health