Provider Demographics
NPI:1144526526
Name:CREWS, SHERITA (MA)
Entity type:Individual
Prefix:
First Name:SHERITA
Middle Name:
Last Name:CREWS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7770 OAK ESTATE ST APT 631
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-1953
Mailing Address - Country:US
Mailing Address - Phone:336-324-5472
Mailing Address - Fax:
Practice Address - Street 1:3622 LYCKAN PKWY STE 6008
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-2570
Practice Address - Country:US
Practice Address - Phone:919-381-6816
Practice Address - Fax:919-381-6818
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-02
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health