Healthcare Provider Details

I. General information

NPI: 1912374976
Provider Name (Legal Business Name): SHERI RYLAND LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHERI R MURRAY

II. Dates (important events)

Enumeration Date: 08/26/2015
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 JUPITER LAKES BLVD BUILDING 3000 STE 201
JUPITER FL
33458
US

IV. Provider business mailing address

PO BOX 48
OKEECHOBEE FL
34973-0048
US

V. Phone/Fax

Practice location:
  • Phone: 561-677-4353
  • Fax: 561-658-0882
Mailing address:
  • Phone: 561-677-4353
  • Fax: 561-658-0882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW11475
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSW11475
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: