MRS. KEMBERLY SHIOBHAN SHERIDAN LPC NPI 1720367592

NPI Information

NPI: 1720367592
Provider Name: MRS. KEMBERLY SHIOBHAN SHERIDAN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
9810 MEDLOCK BRIDGE ROAD.
BLDG. B, SUITE 101
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 680-4732
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MRS. Kemberly Shiobhan Sheridan, LPC is a professional counselor in Johns Creek, GA. MRS. Kemberly Shiobhan Sheridan, LPC NPI is 1720367592. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9810 MEDLOCK BRIDGE ROAD.
BLDG. B, SUITE 101
JOHNS CREEK, GA
ZIP 30097
Phone: (770) 680-4732

The enumeration date for this NPI number is 8/11/2011 and was last updated on 2/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	APC002529	GEORGIA	No
2	101YP2500X	Counselor	Professional	LPC001788	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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