Provider Demographics
NPI:1467754747
Name:WHITE, SHERRI LASONIA (MM, MA)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:LASONIA
Last Name:WHITE
Suffix:
Gender:F
Credentials:MM, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 ALAFAYA HEIGHTS RD
Mailing Address - Street 2:#121
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-7530
Mailing Address - Country:US
Mailing Address - Phone:407-580-6065
Mailing Address - Fax:
Practice Address - Street 1:3601 ALAFAYA HEIGHTS RD
Practice Address - Street 2:#121
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7530
Practice Address - Country:US
Practice Address - Phone:407-580-6065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-19
Last Update Date:2015-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
FLIMT1986106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor