Provider Demographics
NPI:1982154092
Name:SORIANO, CHERYL PRIDE
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:PRIDE
Last Name:SORIANO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6612 ALADDIN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32818-1370
Mailing Address - Country:US
Mailing Address - Phone:407-592-6624
Mailing Address - Fax:
Practice Address - Street 1:115 MAITLAND AVE
Practice Address - Street 2:LIVEWELL OFFICE
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4901
Practice Address - Country:US
Practice Address - Phone:407-966-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-12
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No104100000XBehavioral Health & Social Service ProvidersSocial Worker