Provider Demographics
NPI:1689954703
Name:LAWRENCE, SHERI L (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:L
Last Name:LAWRENCE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3632 LAND O LAKES BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34639-4405
Mailing Address - Country:US
Mailing Address - Phone:813-504-4913
Mailing Address - Fax:
Practice Address - Street 1:3632 LAND O LAKES BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34639-4405
Practice Address - Country:US
Practice Address - Phone:813-504-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-19
Last Update Date:2013-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2276106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist