Provider Demographics
NPI:1831897172
Name:SHERRINGTON, KRISTI NICOLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:NICOLE
Last Name:SHERRINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:KRISTI
Other - Middle Name:
Other - Last Name:DYKSTRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Mailing Address - Street 2:300 68TH STREET SE
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 68TH ST SE
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-6927
Practice Address - Country:US
Practice Address - Phone:616-559-5896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401008727101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional