Provider Demographics
NPI:1154063451
Name:SHEARER, KRISHAWNA ERICA (CMHC INTERN)
Entity Type:Individual
Prefix:
First Name:KRISHAWNA
Middle Name:ERICA
Last Name:SHEARER
Suffix:
Gender:F
Credentials:CMHC INTERN
Other - Prefix:
Other - First Name:KRISHAWNA
Other - Middle Name:ERICA
Other - Last Name:SHEARER PERKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:867 SHEOAH CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32708-2011
Mailing Address - Country:US
Mailing Address - Phone:407-283-3338
Mailing Address - Fax:
Practice Address - Street 1:1701 PARK CENTER DRIVE, SUITE 210
Practice Address - Street 2:1701 PARK CENTER DRIVE, SUITE 210
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32835-3283
Practice Address - Country:US
Practice Address - Phone:407-730-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health