Provider Demographics
NPI:1083358840
Name:SCHWARTZKOPF, CHERYL (MS)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:SCHWARTZKOPF
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CORDER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-7196
Mailing Address - Country:US
Mailing Address - Phone:478-322-1113
Mailing Address - Fax:478-322-1114
Practice Address - Street 1:404 CORDER RD STE 100
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7196
Practice Address - Country:US
Practice Address - Phone:478-322-1113
Practice Address - Fax:478-322-1114
Is Sole Proprietor?:No
Enumeration Date:2022-04-26
Last Update Date:2023-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA008863101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor