MEDICARE: LATASHA CHERRY RMFTI, RMHCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	MH27277	FL
2	106H00000X	Marriage & Family Therapist	MT5474	FL

General Provider Information

NPI Number	:	1114605243
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATASHA CHERRY RMFTI, RMHCI

Provider Business Mailing Address
First Line	:	1171 FOXFORREST CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2327
Country	:	US
Telephone Number	:	407-485-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	1171 FOXFORREST CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2327
Country	:	US
Telephone Number	:	407-485-8404
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	06/10/2026

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