Provider Demographics
NPI:1083753289
Name:CHERAMIE, FLINT DAVID (M A)
Entity Type:Individual
Prefix:MR
First Name:FLINT
Middle Name:DAVID
Last Name:CHERAMIE
Suffix:
Gender:M
Credentials:M A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 DURSETTE ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN MEADOW
Mailing Address - State:LA
Mailing Address - Zip Code:70357-2815
Mailing Address - Country:US
Mailing Address - Phone:985-475-7221
Mailing Address - Fax:
Practice Address - Street 1:157 TWIN OAKS
Practice Address - Street 2:
Practice Address - City:RACELAND
Practice Address - State:LA
Practice Address - Zip Code:70394
Practice Address - Country:US
Practice Address - Phone:985-537-6823
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health