Provider Demographics
NPI:1861240269
Name:SHIERLOCK PSYCHIATRY LLC
Entity type:Organization
Organization Name:SHIERLOCK PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIERLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-604-4577
Mailing Address - Street 1:1750 REMOUNT RD STE C
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-3286
Mailing Address - Country:US
Mailing Address - Phone:843-604-4577
Mailing Address - Fax:843-343-0342
Practice Address - Street 1:1 CARRIAGE LN STE 102
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6060
Practice Address - Country:US
Practice Address - Phone:843-604-4577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-09
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center