Provider Demographics
NPI:1841258001
Name:ATTRIDE, SHERRY V (LMFT)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:V
Last Name:ATTRIDE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2323 WYNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:JONESBOROUGH
Mailing Address - State:TN
Mailing Address - Zip Code:37659-3024
Mailing Address - Country:US
Mailing Address - Phone:423-914-1491
Mailing Address - Fax:423-477-0310
Practice Address - Street 1:2102 FOREST DR
Practice Address - Street 2:SUITE # 5
Practice Address - City:GRAY
Practice Address - State:TN
Practice Address - Zip Code:37615-3493
Practice Address - Country:US
Practice Address - Phone:423-914-1491
Practice Address - Fax:423-477-0310
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLMT0000000648101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health