Provider Demographics
NPI:1619695467
Name:CHAPMAN, SHERYL (ALC)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:ALC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 HUGHES RD
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:AL
Mailing Address - Zip Code:35758-6500
Mailing Address - Country:US
Mailing Address - Phone:256-850-4091
Mailing Address - Fax:256-970-1643
Practice Address - Street 1:165 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-9524
Practice Address - Country:US
Practice Address - Phone:256-850-4091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health