Gardner, Cheryl
Gardner, Cheryl is an individual health care provider with primary practice located at 445 Winn Way , Decatur GA 30030-1707. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Gardner, Cheryl can be contacted via phone (404) 294-3836.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC00665 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006665 | Georgia |
Profile Details
| NPI number | 1356602734 |
|---|---|
| LBN Legal business name | Gardner, Cheryl |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2012 |
| Last updated | Feb 15th, 2021 - about 5 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356602734 | NPPES |
| Georgia | MEDICAID | 003135787A |
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