Provider Demographics
NPI:1083934624
Name:CHEROWITZ, RENEE (MS)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:CHEROWITZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 CHAROW LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32806-7432
Mailing Address - Country:US
Mailing Address - Phone:400-757-9660
Mailing Address - Fax:
Practice Address - Street 1:3420 CHAROW LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-7432
Practice Address - Country:US
Practice Address - Phone:400-757-9660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-06
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11472101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health