| Doctor Name: | MRS. GRACHELLE ALYCE SHERBURNE |
| NPI Number: | 1124278577 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | CSW004808 |
| Business Practice Address: | 5241 Cherry Hill Ln Powder Springs, GA - 301274739 |
| Business Phone Number: | 7705496997 |
| Business Fax Number: | |
| Mailing Address: | 5241 Cherry Hill Ln, POWDER SPRINGS |
| State: | GA |
| Postal Code: | 301274739 |
| Phone Number: | 7705496997 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2008 |
| NPI Last Update Date: | 02/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | CSW004808 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |