Provider Demographics
NPI:1558779595
Name:DAVIS, SHERMIN (LMHC)
Entity Type:Individual
Prefix:
First Name:SHERMIN
Middle Name:
Last Name:DAVIS
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 1:19496 E COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4826
Mailing Address - Country:US
Mailing Address - Phone:305-510-2804
Mailing Address - Fax:206-984-3868
Practice Address - Street 1:1444 BISCAYNE BLVD
Practice Address - Street 2:SUITE 208 - 4 & 5
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1430
Practice Address - Country:US
Practice Address - Phone:305-510-2804
Practice Address - Fax:206-984-3868
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8634101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health