Individual
MS. SHERRI SUZANNE STILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MAHS, CMHC, LPC
Contact information
Practice address
1020 S MAIN ST, SUITE 101, SALT LAKE CITY, UT 84101-3176
(801) 539-7000
Mailing address
5965 S 900 E, SALT LAKE CITY, UT 84121-1720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14912
TX
101YM0800X
Mental Health Counselor
7145184-6004
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0279937
—
TX
01
—
5364LC
PROVIDER NUMBER - BCBS
TX
01
—
7288435
PROVIDER NUMBER -AETNA
TX
Enumeration date
12/06/2006
Last updated
02/03/2014
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