Provider Demographics
NPI:1013572411
Name:CHECKERS, CHERYL ANNE (LMHC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANNE
Last Name:CHECKERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1851 W INDIANTOWN RD STE 105
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-7908
Mailing Address - Country:US
Mailing Address - Phone:561-814-6244
Mailing Address - Fax:
Practice Address - Street 1:1851 W INDIANTOWN RD STE 105
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-7908
Practice Address - Country:US
Practice Address - Phone:561-814-6244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-01
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH16424101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health