Provider Demographics
NPI:1205367315
Name:ADAMS-NDLOVU, CHERIE CELESTE (MS)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:CELESTE
Last Name:ADAMS-NDLOVU
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:CELESTE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1316 GWINNETT SQUARE CIR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5586
Mailing Address - Country:US
Mailing Address - Phone:470-445-7613
Mailing Address - Fax:
Practice Address - Street 1:1316 GWINNETT SQUARE CIR
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5586
Practice Address - Country:US
Practice Address - Phone:470-445-7613
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-22
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC011115101Y00000X, 101YP2500X, 101YM0800X
GAC0282101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional