Provider Demographics
NPI:1144871435
Name:BROTHERS, SHERRI (LPC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:
Last Name:BROTHERS
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 1:6598 KELSEY POINT CIR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-5524
Mailing Address - Country:US
Mailing Address - Phone:571-338-5522
Mailing Address - Fax:
Practice Address - Street 1:6598 KELSEY POINT CIR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-5524
Practice Address - Country:US
Practice Address - Phone:571-338-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-27
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003207101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional