Provider Demographics
NPI:1679313241
Name:LUEVANO, SHERIE
Entity type:Individual
Prefix:
First Name:SHERIE
Middle Name:
Last Name:LUEVANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11384 LIVINGSTON RD
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5143
Mailing Address - Country:US
Mailing Address - Phone:703-539-2313
Mailing Address - Fax:240-823-6595
Practice Address - Street 1:11384 LIVINGSTON RD
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-5143
Practice Address - Country:US
Practice Address - Phone:703-539-2313
Practice Address - Fax:240-823-6595
Is Sole Proprietor?:No
Enumeration Date:2024-05-30
Last Update Date:2024-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor