Provider Demographics
NPI:1225449044
Name:MCFADDEN, CHERYL ELAINE (LCMHCS, LCAS, LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ELAINE
Last Name:MCFADDEN
Suffix:
Gender:F
Credentials:LCMHCS, LCAS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:537 W SUGAR CREEK RD STE 203
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-6102
Mailing Address - Country:US
Mailing Address - Phone:980-875-9473
Mailing Address - Fax:704-595-7155
Practice Address - Street 1:537 W SUGAR CREEK RD STE 203
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-6102
Practice Address - Country:US
Practice Address - Phone:980-875-9473
Practice Address - Fax:704-595-7155
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2022-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-3283101YA0400X
NC11088101YM0800X
SC6407101YP2500X
NCS11088101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCLAC93OtherSC BOARD OF EXAMINERS FOR COUNSELORS
NCLCMHCS11088OtherNC BOARD OF LICENSED CLINICAL MENTAL HEALTH COUNSELORS
NCLCAS3283OtherNORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD
SCLPC6407OtherSC BOARD OF EXAMINERS FOR COUNSELORS