Healthcare Provider Details

I. General information

NPI: 1356740864
Provider Name (Legal Business Name): OPTIMAL MOMENTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2014
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7819 N DALE MABRY HWY STE 108
TAMPA FL
33614-3210
US

IV. Provider business mailing address

7819 N DALE MABRY HWY STE 108
TAMPA FL
33614-3210
US

V. Phone/Fax

Practice location:
  • Phone: 813-538-0149
  • Fax: 844-371-0868
Mailing address:
  • Phone: 813-538-0149
  • Fax: 844-371-0868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TE1100X
TaxonomyExercise & Sports Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. SHERIECE SADBERRY
Title or Position: CEO LICENSED PSYCHOLOGIST
Credential: LP
Phone: 813-538-0149