Provider Demographics
NPI:1760588255
Name:FLATOW, SHARON L (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:L
Last Name:FLATOW
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 1:251 MAITLAND AVE
Mailing Address - Street 2:STE 108
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4914
Mailing Address - Country:US
Mailing Address - Phone:407-260-5666
Mailing Address - Fax:407-260-9790
Practice Address - Street 1:251 MAITLAND AVE
Practice Address - Street 2:STE 108
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4914
Practice Address - Country:US
Practice Address - Phone:407-260-5666
Practice Address - Fax:407-260-9790
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH1733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health