Healthcare Provider Details

I. General information

NPI: 1801790035
Provider Name (Legal Business Name): SHARON J WHITAKER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 SW 2ND AVE
OKEECHOBEE FL
34974-5117
US

IV. Provider business mailing address

700 SW 2ND AVE
OKEECHOBEE FL
34974-5117
US

V. Phone/Fax

Practice location:
  • Phone: 863-462-5000
  • Fax: 863-462-5022
Mailing address:
  • Phone: 863-462-5000
  • Fax: 863-462-5022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH20974
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: