Provider Demographics
NPI:1215360904
Name:DACRES, SHERIKA SIMONE (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHERIKA
Middle Name:SIMONE
Last Name:DACRES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13330 KITTY FORK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6187
Mailing Address - Country:US
Mailing Address - Phone:407-864-4491
Mailing Address - Fax:
Practice Address - Street 1:13330 KITTY FORK RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6187
Practice Address - Country:US
Practice Address - Phone:407-864-4491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-16
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH11803101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health