Provider Demographics
NPI:1194129528
Name:LONI SHELEF
Entity type:Organization
Organization Name:LONI SHELEF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHERER
Authorized Official - Suffix:
Authorized Official - Credentials:NONE
Authorized Official - Phone:727-797-0800
Mailing Address - Street 1:24761 US HIGHWAY 19 N
Mailing Address - Street 2:SUITE 680
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33763-3933
Mailing Address - Country:US
Mailing Address - Phone:727-797-0800
Mailing Address - Fax:727-797-0381
Practice Address - Street 1:24761 US HIGHWAY 19 N
Practice Address - Street 2:SUITE 680
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-3933
Practice Address - Country:US
Practice Address - Phone:727-797-0800
Practice Address - Fax:727-797-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1378106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty