| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KELLY MARIE SHERIDAN | 1659035640 | 2024-01-06 |
Kelly Marie Sheridan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1659035640. Registration indicates Kelly Marie Sheridan is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Counselor (Behavioral Health & Social Service Providers, Counselor) (Counselor, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor, Behavioral Health & Social Service Providers)
| Entity Type | Individual |
| Provider Name | Kelly Marie Sheridan LMFT |
| Practice Office Address | 117 E PICCADILLY ST STE 300 WINCHESTER, VA US |
| Practice Office Telephone | 5406654426 |
| Mailing Address | 858 OLD JERSEY MOUNTAIN RD ROMNEY, WV 267576562 US |
| Business Telephone | 3045789315 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 7520 Gardner Park Dr | Gainesville, VA 201553414 | 5712482358 |
| Code | Practice | License No State |
|---|---|---|
| 101Y00000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor Behavioral Health/Substance Abuse/Psychiatry Counselor Behavioral Health & Social Service Providers | 0730000626
VA |