Provider Demographics
NPI:1881448991
Name:HERRINGTON, MARY ANNALISE
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ANNALISE
Last Name:HERRINGTON
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 1:2011 TEXOMA PKWY STE 20
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2688
Mailing Address - Country:US
Mailing Address - Phone:903-500-2090
Mailing Address - Fax:903-309-0231
Practice Address - Street 1:2011 TEXOMA PKWY STE 20
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2688
Practice Address - Country:US
Practice Address - Phone:903-500-2090
Practice Address - Fax:903-309-0231
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician