Provider Demographics
NPI:1780124883
Name:ANDERSON, SHERI D (MHA/ED,LADC)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:D
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MHA/ED,LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3930 E PATRICK LN STE B
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-4924
Mailing Address - Country:US
Mailing Address - Phone:855-267-7767
Mailing Address - Fax:
Practice Address - Street 1:3930 E PATRICK LN STE B
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-4924
Practice Address - Country:US
Practice Address - Phone:855-267-7767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV01759-L101YM0800X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health