Provider Demographics
NPI:1053569780
Name:WHITMIRE, CHERYL HEATHER (PHD, LMHC, NCC)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:HEATHER
Last Name:WHITMIRE
Suffix:
Gender:F
Credentials:PHD, LMHC, NCC
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:HEATHER
Other - Last Name:COLEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1701 NE 42ND AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-8022
Mailing Address - Country:US
Mailing Address - Phone:813-290-8560
Mailing Address - Fax:352-354-9166
Practice Address - Street 1:1701 NE 42ND AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-8022
Practice Address - Country:US
Practice Address - Phone:813-290-8560
Practice Address - Fax:352-354-9166
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-06
Last Update Date:2016-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9574101YM0800X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator