| Organization Name: | JANICE SHERMAN LLC |
| NPI Number: | 1598130536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE L CHOPLIN (BILLING MANAGER) |
| Mailing Address: | 401 South 5th Street #2 Glenvil |
| State: | NE US |
| Postal Code: | 689410104 |
| Phone Number: | 4027053337 |
| Fax Number: | 4027712238 |
| NPI Enumeration Date: | 12/02/2015 |
| NPI Last Update Date: | 12/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NE |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |