Ellery, Sheryll A

Ellery, Sheryll A is an individual health care provider with primary practice located at 503 State St , Springfield MA 01109-4101. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Ellery, Sheryll A can be contacted via phone (413) 733-6661.

Contact Information

Primary practice address
503 State St Springfield MA 01109-4101
Phone: (413) 733-6661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5990 Massachusetts

Profile Details

NPI number 1205919669
LBN Legal business name Ellery, Sheryll A
Credentials LMHC, CADAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205919669 NPPES
Massachusetts Other 5990 LMHC

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