Provider Demographics
NPI:1912449737
Name:SHERRI WASHINGTON
Entity Type:Organization
Organization Name:SHERRI WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RMHCI
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:NICHOLE
Authorized Official - Last Name:WASHINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:407-840-1145
Mailing Address - Street 1:321 SUN OAKS CT
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3007
Mailing Address - Country:US
Mailing Address - Phone:407-840-1145
Mailing Address - Fax:
Practice Address - Street 1:1414 LEXINGTON GREEN LN
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1015
Practice Address - Country:US
Practice Address - Phone:407-878-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-10
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty