Provider Demographics
NPI:1851865281
Name:SHIVOK, SHERRIE ANN (LMHC)
Entity type:Individual
Prefix:
First Name:SHERRIE
Middle Name:ANN
Last Name:SHIVOK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 WALL ST STE 42
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46383-2572
Mailing Address - Country:US
Mailing Address - Phone:219-510-8042
Mailing Address - Fax:218-510-8044
Practice Address - Street 1:402 WALL ST STE 42
Practice Address - Street 2:
Practice Address - City:VALPARAISO
Practice Address - State:IN
Practice Address - Zip Code:46383-2572
Practice Address - Country:US
Practice Address - Phone:219-510-8042
Practice Address - Fax:218-510-8044
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003001A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health