Provider Demographics
NPI:1336479484
Name:CHERRY, MONICA L (MA,MED, LMHC)
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:L
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MA,MED, LMHC
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:C
Other - Last Name:HANKERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MED, PHD, LMHC
Mailing Address - Street 1:5104 N LOCKWOOD RIDGE RD STE 104C
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34234-3312
Mailing Address - Country:US
Mailing Address - Phone:941-724-7329
Mailing Address - Fax:941-359-0915
Practice Address - Street 1:5104 N LOCKWOOD RIDGE RD STE 104C
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34234-3312
Practice Address - Country:US
Practice Address - Phone:941-724-7329
Practice Address - Fax:941-359-0915
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4882102L00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst