Provider Demographics
NPI:1457496283
Name:DENISON, SHERILL (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:SHERILL
Middle Name:
Last Name:DENISON
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6602
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33758-6602
Mailing Address - Country:US
Mailing Address - Phone:727-455-6004
Mailing Address - Fax:727-239-7883
Practice Address - Street 1:18860 US HIGHWAY 19 N STE 127
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33764-3106
Practice Address - Country:US
Practice Address - Phone:727-455-6004
Practice Address - Fax:727-239-7883
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health