MEDICARE: CHRISSIE BEHARRY SPERLING

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	MH14229	FL
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1568774552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISSIE BEHARRY SPERLING

Provider Business Mailing Address
First Line	:	3108 WINFIELD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2049
Country	:	US
Telephone Number	:	407-314-6178
Fax Number	:

Provider Business Practice Location Address
First Line	:	3108 WINFIELD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32810-2049
Country	:	US
Telephone Number	:	407-314-6178
Fax Number	:

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

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	10/05/2023

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Directions to “ CHRISSIE BEHARRY SPERLING ” Practice Location

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