Bouldin, Sherry

Bouldin, Sherry is an sole proprietor health care provider with primary practice located at 4500 I 55 N Suite 220, Jackson MS 39211-5930. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychoanalyst, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Bouldin, Sherry can be contacted via phone (601) 927-8729.

Contact Information

Primary practice address
4500 I 55 N Suite 220 Jackson MS 39211-5930
Phone: (601) 927-8729
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1995 Mississippi
Behavioral Health & Social Service Providers / Psychoanalyst 102L00000X 1995 Mississippi
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X 1995 Mississippi
Behavioral Health & Social Service Providers / Counselor 101Y00000X 1995 Mississippi

Profile Details

NPI number 1053784918
LBN Legal business name Bouldin, Sherry
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2015
Last updated Jul 6th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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