Individual
MRS. SHERYL LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5230 S WESTERN AVE, MARION, IN 46953-5778
(765) 674-2208
(674) 674-3273
Mailing address
5230 S WESTERN AVE, MARION, IN 46953-5778
(765) 674-2208
(674) 674-3273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000613A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000175679
BLUE CROSS BLUE SHIELD
IN
01
—
249811000
MAGELLAN
IN
01
—
7003686
AETNA
IN
Enumeration date
03/07/2007
Last updated
09/10/2009
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