| Doctor Name: | SHERYL WHITE |
| NPI Number: | 1134576564 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MH 11403 |
| Business Practice Address: | 12497 Tamiami Trl S Suite 4 North Port, FL - 342871447 |
| Business Phone Number: | 9414924300 |
| Business Fax Number: | 9414922170 |
| Mailing Address: | 5861 Jackson Ln, VENICE |
| State: | FL |
| Postal Code: | 342936808 |
| Phone Number: | 9418004470 |
| Fax Number: | |
| NPI Enumeration Date: | 05/16/2016 |
| NPI Last Update Date: | 05/16/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 11403 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |