Doctor Name: | ELIZABETH MCGEHEE CHERRY |
NPI Number: | 1164604716 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | MH9222 |
Business Practice Address: | 910 S 8th St Suite 300 Fernandina Beach, FL - 320343744 |
Business Phone Number: | 9044912001 |
Business Fax Number: | 9044912007 |
Mailing Address: | 910 S 8th St, Suite 300 FERNANDINA BEACH |
State: | FL |
Postal Code: | 320343744 |
Phone Number: | 9044912001 |
Fax Number: | 9044912007 |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 12/05/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH9222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |