Sheryl Truluck East, LMSW
Individual provider Active NPI Counselor · Lakeland, GA
NPI 1609409705 · NPPES record last updated Feb 17, 2020
Key facts
- NPI
- 1609409705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 80 Cypress TRL
Lakeland, GA 31635-5433 - Phone
- (229) 412-3127
- Fax
- (229) 482-9653
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
80 Cypress TRL
Lakeland, GA 31635-5433
Mailing address
80 Cypress Trail
Lakeland, GA 31635-4355
Phone (229) 412-3127
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MSW003355 | Other | GA | LICENSING BOARD OF PSYCHOLOGIST, SOCIAL WORKERS |
Other providers in Lakeland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.