Provider Demographics
NPI:1114041944
Name:LAFLAME, CHERYL
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:LAFLAME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2737 ORCHID OAKS DR
Mailing Address - Street 2:#303B
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-6423
Mailing Address - Country:US
Mailing Address - Phone:941-321-0256
Mailing Address - Fax:
Practice Address - Street 1:234 N RHODES AVE STE 107
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34237-4663
Practice Address - Country:US
Practice Address - Phone:941-321-0256
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY6039103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical