MRS. SHERRY CLARK (NPI# 1992277529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992277529 |
| Entity Type | Individual |
| Full Name | MRS. SHERRY CLARK |
| Credential | LPC |
| Practice Address |
214 Bush River Dr Farmville VA 23901-3179 |
| Mailing Address |
Po Box 248 Farmville VA 23901-0248 |
| Practice Telephone | 4343923187 |
| Practice Fax Number | 4343911238 |
| Mailing Telephone | 4343923187 |
| Mailing Fax Number | 4343911238 |
| Enumeration Date | 2018-12-20 |
| Last Update Date | 2018-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
0701008054 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620259 | Sherry Clark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7030 Capella Park Ave, Dallas, TX 75236-3003 | 2015-06-05 |
| 1275131344 | Sherry Clark | Physical Medicine & Rehabilitation | 2395 Wall St Se Ste 176, Conyers, GA 30013-6703 | 2020-10-12 |
| 1730649930 | Sherry Marie Clark | Behavior Technician | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-03-22 |
| 1750862744 | Sherry Clark | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2018-08-27 |
| 1952675209 | Sherry L. Clark | Nurse Practitioner | 2703 Henry St, Greensboro, NC 27405-3669 | 2012-03-05 |
| 1467698217 | Sherry Clark | Respiratory Therapist, Certified | 500 E Veterans St, Tomah, WI 54660-3105 | 2008-12-29 |
| Street Address |
214 BUSH RIVER DR |
| City | FARMVILLE |
| State | VA |
| Zip Code | 23901-3179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326047606 | Norman Brooks Holden Jr. | Psychiatry & Neurology | 214 Bush River Dr, Farmville, VA 23901 | 2005-07-19 |
| 1982234993 | Goldie M Oakes | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2020-01-17 |
| 1609412006 | Chelsea Davis | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2019-11-20 |
| 1205485810 | Elizabeth Kate Trammell Griles | Social Worker | 214 Bush River Dr, Farmville, VA 23901-3179 | 2019-09-06 |
| 1548793029 | George L Davis | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2017-04-11 |
| 1003353343 | Hans Peter Paulsen | Counselor | 214 Bush River Dr, Po Drawer 248, Farmville, VA 23901-3179 | 2017-01-25 |
| 1932650009 | Michele Dana Ebright | Psychologist | 214 Bush River Dr, Farmville, VA 23901-3179 | 2016-10-24 |
| 1629522800 | John Dimock | Psychiatry & Neurology | 214 Bush River Dr, Farmville, VA 23901-3179 | 2016-08-05 |
| 1215316328 | Andrew J Chandler IIi | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2015-05-21 |
| 1639590763 | Gary Shepherd | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2013-12-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876531 | Farmville Family Pharmacy, Inc. | Pharmacy | 1538 South Main Street, Farmville, VA 23901 | 2019-11-21 |
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1447706668 | Alison Cameron | Specialist/Technologist | 3152 Allen Farm Road, Farmville, VA 23901 | 2016-08-28 |
| 1508236977 | Sarah Trimble | Social Worker | 833 Buffalo Street Suite 200, Suite 200 Po Drawer Q, Farmville, VA 23901 | 2015-09-29 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1770997660 | Ronda L Walker | Speech-Language Pathologist | 315 West Third Street, Farmville, VA 23901 | 2014-06-18 |
| 1598191165 | Stephen Stone | Physician Assistant | 1706 East 3rd Street, Farmville, VA 23901 | 2013-09-16 |
| 1558637611 | Jeffrey Sargent | Physical Therapy Assistant | 800 0ak St, Farmville, VA 23901 | 2012-03-22 |
| 1497068217 | Family Preservation Services, Inc. | Community/Behavioral Health | 1825 East Third Street, Farmville, VA 23901 | 2010-07-21 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| Find all providers in zip 23901 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184269870 | Louis Lee Huddleston | Counselor | 502 Beech Street, Farmville, VA 23901 | 2019-11-17 |
| 1346729001 | Rian Neuberger | Counselor | 714 E Second St, Farmville, VA 23901-1602 | 2018-08-13 |
| 1306204474 | Unlimited Possibilities Counseling Services LLC | Counselor | 2720 Layne Street Ext Unit 2, Farmville, VA 23901-3069 | 2016-02-04 |
| 1437532306 | Tara Ross-barksdale | Counselor | 129 Walnut Lane, Farmville, VA 23901 | 2015-07-09 |
| 1467781419 | Aime Spencer | Counselor | 232 Ridgeway Drive, Farmville, VA 23901 | 2009-12-21 |
| 1740897701 | Laura Beth Beiler | Counselor | 2720 Layne Street Ext, Farmville, VA 23901-3069 | 2020-09-24 |
| 1982234993 | Goldie M Oakes | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2020-01-17 |
| 1609412006 | Chelsea Davis | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2019-11-20 |
| 1467097287 | Gale Lorraine Randolph | Counselor | 404 E 3rd St Ste 200, Farmville, VA 23901-1512 | 2019-11-15 |
| 1548793029 | George L Davis | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2017-04-11 |
| Find all providers in FARMVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.