Provider Demographics
NPI:1932626546
Name:FOSTER, SHERYL (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:
Last Name:FOSTER
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 1:1819 SHORT BRANCH DR STE 103
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-4423
Mailing Address - Country:US
Mailing Address - Phone:727-430-0999
Mailing Address - Fax:727-835-2680
Practice Address - Street 1:1819 SHORT BRANCH DR STE 103
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655-4423
Practice Address - Country:US
Practice Address - Phone:727-430-0999
Practice Address - Fax:727-835-2680
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15244101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health