Provider Demographics
NPI:1871790063
Name:LOTT, SHERI MICHELLE (MS CRC LPC)
Entity type:Individual
Prefix:MS
First Name:SHERI
Middle Name:MICHELLE
Last Name:LOTT
Suffix:
Gender:F
Credentials:MS CRC LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 INDUSTRIAL DR
Mailing Address - Street 2:
Mailing Address - City:LOUISBURG
Mailing Address - State:NC
Mailing Address - Zip Code:27549
Mailing Address - Country:US
Mailing Address - Phone:919-496-3444
Mailing Address - Fax:919-496-6452
Practice Address - Street 1:107 INDUSTRIAL DR
Practice Address - Street 2:
Practice Address - City:LOUISBURG
Practice Address - State:NC
Practice Address - Zip Code:27549-2371
Practice Address - Country:US
Practice Address - Phone:919-496-3444
Practice Address - Fax:919-496-6452
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5577101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health