Provider Demographics
NPI:1902454291
Name:MONTEITH, SHERRY (LCPC-C)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:MONTEITH
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:178 COURT ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:ME
Mailing Address - Zip Code:04210-6917
Mailing Address - Country:US
Mailing Address - Phone:207-240-2830
Mailing Address - Fax:
Practice Address - Street 1:178 COURT ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:ME
Practice Address - Zip Code:04210-6917
Practice Address - Country:US
Practice Address - Phone:207-240-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health