Provider Demographics
NPI:1750659637
Name:GOWIN, CHERYL EASTLUND (RMHI)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:EASTLUND
Last Name:GOWIN
Suffix:
Gender:F
Credentials:RMHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3806 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLMES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34217-1952
Mailing Address - Country:US
Mailing Address - Phone:407-222-7923
Mailing Address - Fax:810-222-7923
Practice Address - Street 1:3806 6TH AVE
Practice Address - Street 2:
Practice Address - City:HOLMES BEACH
Practice Address - State:FL
Practice Address - Zip Code:34217-1952
Practice Address - Country:US
Practice Address - Phone:407-222-7923
Practice Address - Fax:810-222-7923
Is Sole Proprietor?:No
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 8738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health