Black, Shereeta T

Black, Shereeta T is an individual health care provider with primary practice located at 4112 Lamson Ave , Spring Hill FL 34608-3744. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Black, Shereeta T can be contacted via phone (813) 644-9272.

Contact Information

Primary practice address
4112 Lamson Ave Spring Hill FL 34608-3744
Phone: (813) 644-9272
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1114239191
LBN Legal business name Black, Shereeta T
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2010
Last updated May 16th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114239191 NPPES
Florida MEDICAID 1114239191

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