Provider Demographics
NPI:1982083473
Name:BURR, KERRI (MH24947)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:
Last Name:BURR
Suffix:
Gender:F
Credentials:MH24947
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4821 S LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-5910
Mailing Address - Country:US
Mailing Address - Phone:978-314-5187
Mailing Address - Fax:
Practice Address - Street 1:4821 S LAKE DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-5910
Practice Address - Country:US
Practice Address - Phone:978-314-5187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-29
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH24947101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health