Provider Demographics
NPI:1982144259
Name:HOUSTON, SHERMAN
Entity Type:Individual
Prefix:
First Name:SHERMAN
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 FIRE TOWER RD
Mailing Address - Street 2:
Mailing Address - City:GRAND CANE
Mailing Address - State:LA
Mailing Address - Zip Code:71032-6153
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:925 FIRE TOWER RD
Practice Address - Street 2:
Practice Address - City:GRAND CANE
Practice Address - State:LA
Practice Address - Zip Code:71032-6153
Practice Address - Country:US
Practice Address - Phone:318-461-1254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health