Provider Demographics
NPI:1902559701
Name:PEERY, SHERI LYNN (LPC)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:PEERY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 STONEGATE DR
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-3656
Mailing Address - Country:US
Mailing Address - Phone:903-241-2172
Mailing Address - Fax:
Practice Address - Street 1:1221 JUDSON RD STE 800
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-3922
Practice Address - Country:US
Practice Address - Phone:903-326-1273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health