Provider Demographics
NPI:1184828923
Name:HARRIS, CHERYL ANN (LPC,LCAS)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:ANN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC,LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3701 SUTTON WAY
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1481
Mailing Address - Country:US
Mailing Address - Phone:336-841-7741
Mailing Address - Fax:336-641-6431
Practice Address - Street 1:232 N EDGEWORTH ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-2218
Practice Address - Country:US
Practice Address - Phone:336-641-4963
Practice Address - Fax:336-641-6431
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3485101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor