| Doctor Name: | SHERENA PRINCE |
| NPI Number: | 1265843940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS |
| License Number: | |
| Business Practice Address: | 105 W. 4th Avenue Williamson, WV - 25661 |
| Business Phone Number: | 3042363517 |
| Business Fax Number: | 3042363518 |
| Mailing Address: | 105 W. 4th Avenue, WILLIAMSON |
| State: | WV |
| Postal Code: | 25661 |
| Phone Number: | 3042363517 |
| Fax Number: | 3042363518 |
| NPI Enumeration Date: | 05/15/2014 |
| NPI Last Update Date: | 06/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |