Provider Demographics
NPI:1154918563
Name:SHERRILL, JENNIFFER M (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:JENNIFFER
Middle Name:M
Last Name:SHERRILL
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8271 SW 35TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3344
Mailing Address - Country:US
Mailing Address - Phone:305-397-3733
Mailing Address - Fax:
Practice Address - Street 1:8271 SW 35TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3344
Practice Address - Country:US
Practice Address - Phone:305-397-3733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-31
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH22279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health