Provider Demographics
NPI:1700632932
Name:SHERMAN, TARA LYNN (LMHC)
Entity type:Individual
Prefix:MRS
First Name:TARA
Middle Name:LYNN
Last Name:SHERMAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:TARA
Other - Middle Name:LYNN
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:40 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141-1262
Mailing Address - Country:US
Mailing Address - Phone:716-221-0635
Mailing Address - Fax:
Practice Address - Street 1:40 E MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1262
Practice Address - Country:US
Practice Address - Phone:716-221-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-29
Last Update Date:2024-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012455101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health