Provider Demographics
NPI:1568774552
Name:BEHARRY SPERLING, CHRISSIE
Entity Type:Individual
Prefix:
First Name:CHRISSIE
Middle Name:
Last Name:BEHARRY SPERLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3108 WINFIELD ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-2049
Mailing Address - Country:US
Mailing Address - Phone:407-314-6178
Mailing Address - Fax:
Practice Address - Street 1:3108 WINFIELD ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32810-2049
Practice Address - Country:US
Practice Address - Phone:407-314-6178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14229101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health