Provider Demographics
NPI:1700802360
Name:LEVENS, SHERIDON KATHRYN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:SHERIDON
Middle Name:KATHRYN
Last Name:LEVENS
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 1:3308 S SAN MIGUEL ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7033
Mailing Address - Country:US
Mailing Address - Phone:813-230-6901
Mailing Address - Fax:813-287-1721
Practice Address - Street 1:200 S HOOVER BLVD
Practice Address - Street 2:STE 170
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-3540
Practice Address - Country:US
Practice Address - Phone:813-287-1636
Practice Address - Fax:813-287-1721
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH3682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health