Individual provider · Type 1 NPI

Sherry Bouldin, LPC

Professional Counselor · Jackson, MS

NPI number 1053784918 Active

Practice location

4500 I 55 N, Suite 220
Jackson, MS 39211-5930

Call (601) 927-8729 Map

Mailing address

PO Box 12195
Jackson, MS 39236-2195

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X1995 (MS)
Counselor 101Y00000X1995 (MS)
Behavior Analyst 103K00000X1995 (MS)
Psychoanalyst 102L00000X1995 (MS)
Professional Counselor Primary 101YP2500X1995 (MS)

Professional Counselor: Definition to come...

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About NPI 1053784918

Sherry Bouldin, LPC's National Provider Identifier is 1053784918, issued on Nov 1, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jackson, MS. The record was last updated on Sep 17, 2025.