Provider Demographics
NPI:1861532889
Name:AVANTS, SHERRI DENAE
Entity type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:DENAE
Last Name:AVANTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 SMALL OAK DR.
Mailing Address - Street 2:
Mailing Address - City:HUMBOLDT
Mailing Address - State:TN
Mailing Address - Zip Code:38343-8643
Mailing Address - Country:US
Mailing Address - Phone:731-234-2701
Mailing Address - Fax:
Practice Address - Street 1:1209 HIGHWAY 641 S
Practice Address - Street 2:SUITE A
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5137
Practice Address - Country:US
Practice Address - Phone:731-641-4141
Practice Address - Fax:731-641-9152
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health