Provider Demographics
NPI:1770297293
Name:SANDERSON, SHERI LYNN (MA, LPC)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:SANDERSON
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11302 OVERLAND TRAIL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-3985
Mailing Address - Country:US
Mailing Address - Phone:281-830-2213
Mailing Address - Fax:
Practice Address - Street 1:8315 FM 723
Practice Address - Street 2:SUITE 28
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406
Practice Address - Country:US
Practice Address - Phone:281-985-5848
Practice Address - Fax:281-985-5842
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-09
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX90592101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health