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:
Health care specialties
Specialty | Code | License # | 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 2 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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