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Contact Information

SHERRY BOULDIN, LPC
4500 I 55 N
SUITE 220
JACKSON, MS39211-5930
 Phone: 601-927-8729
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Behavior Analyst

103K00000X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Psychoanalyst

102L00000X
Indicates primary specialty

NPI Profile & details for SHERRY BOULDIN · (Female)

NPI # 1053784918
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 11/01/2015
Last updated 09/17/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 1995
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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