Provider Demographics
NPI:1235995788
Name:BICKFORD, SHERI L (LMHC, MA, MED)
Entity Type:Individual
Prefix:
First Name:SHERI
Middle Name:L
Last Name:BICKFORD
Suffix:
Gender:F
Credentials:LMHC, MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 4TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695-4020
Mailing Address - Country:US
Mailing Address - Phone:813-720-7411
Mailing Address - Fax:877-454-6994
Practice Address - Street 1:108 4TH AVE S
Practice Address - Street 2:
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695-4020
Practice Address - Country:US
Practice Address - Phone:813-720-7411
Practice Address - Fax:877-454-6994
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health