Provider Demographics
NPI:1134637291
Name:DANSKY, SHERRY ILENE (MAT, ATR-BC, LMHC)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:ILENE
Last Name:DANSKY
Suffix:
Gender:F
Credentials:MAT, ATR-BC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12601 MAYPAN DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33428-4779
Mailing Address - Country:US
Mailing Address - Phone:561-596-1728
Mailing Address - Fax:
Practice Address - Street 1:12601 MAYPAN DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33428-4779
Practice Address - Country:US
Practice Address - Phone:561-596-1728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-10
Last Update Date:2018-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8617101YM0800X
NM2432221700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health