Organization
SHERROUSE PSYCHIATRY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA SHERROUSE APRN (OWNER)
(850) 373-8002
Entity
Organization
Contact information
Practice address
406 S WAUKESHA ST, BONIFAY, FL 32425-2714
(850) 373-8002
Mailing address
1913 STEVERSON RD, BONIFAY, FL 32425-5601
(850) 373-8002
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
07/26/2024
Last updated
12/11/2024
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