Individual
CHERYL ANN BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D , LMHC
Contact information
Practice address
2431 ALOMA AVE SUITE 251, WINTER PARK, FL 32792-2900
(407) 704-3166
(866) 754-2339
Mailing address
PO BOX 1866, WINTER PARK, FL 32790-1866
(407) 704-3166
(866) 754-2339
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH7458
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
266648
AMERIGROUP PROVIDER ID
FL
01
—
311671
WELLCARE PROVIDER ID
FL
01
—
Z036G
BLUE CROSS BLUE SHIELD PR
FL
Enumeration date
01/30/2007
Last updated
11/26/2014
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