Sherrard, Staci

Sherrard, Staci is an individual health care provider with primary practice located at 3701 Lansdowne Drive , Ashland KY 41102. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Sherrard, Staci can be contacted via phone (606) 324-3005.

Contact Information

Primary practice address
3701 Lansdowne Drive Ashland KY 41102
Phone: (606) 324-3005
Fax: (606) 329-1530
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 104485 Kentucky

Profile Details

NPI number 1356690457
LBN Legal business name Sherrard, Staci
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Aug 29th, 2018 - about 8 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 1356690457 NPPES
Kentucky MEDICAID 7100283040

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