Provider Demographics
NPI:1144297086
Name:SHERWOOD, FRANCIS J (LPC/LMFT)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:SHERWOOD
Suffix:
Gender:M
Credentials:LPC/LMFT
Other - Prefix:
Other - First Name:FJOHN
Other - Middle Name:
Other - Last Name:SHERWOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC/LMFT
Mailing Address - Street 1:147 E MISTLETOE AVE
Mailing Address - Street 2:STE. 105
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3408
Mailing Address - Country:US
Mailing Address - Phone:210-858-8144
Mailing Address - Fax:210-370-9979
Practice Address - Street 1:147 E MISTLETOE AVE
Practice Address - Street 2:STE. 105
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212
Practice Address - Country:US
Practice Address - Phone:210-858-8144
Practice Address - Fax:210-370-9979
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-28
Last Update Date:2014-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9320101YM0800X
TX4395-033062101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX352153000OtherMAGELLAN
TX7657231OtherAETNA PIN
TX4159LCOtherBLUE CROSS BLUE SHIELD
TX026364201Medicaid
TX111439789OtherUBH
TX9320OtherLPC LICENSE
TX4395-033062OtherLMFT LICENSE