Healthcare Provider Details

I. General information

NPI: 1336479484
Provider Name (Legal Business Name): MONICA L CHERRY M.A.,M.ED., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MONICA C HANKERSON MA, MED, PHD, LMHC

II. Dates (important events)

Enumeration Date: 01/12/2010
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5104 N LOCKWOOD RIDGE RD STE 104C
SARASOTA FL
34234-3312
US

IV. Provider business mailing address

5104 N LOCKWOOD RIDGE RD STE 104C
SARASOTA FL
34234-3312
US

V. Phone/Fax

Practice location:
  • Phone: 941-724-7329
  • Fax: 941-359-0915
Mailing address:
  • Phone: 941-724-7329
  • Fax: 941-359-0915

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberMH4882
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH4882
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: