Provider Demographics
NPI:1376705079
Name:ANTHONY, CHERI HARRRELL (PHD, LPC)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:HARRRELL
Last Name:ANTHONY
Suffix:
Gender:F
Credentials:PHD, LPC
Other - Prefix:DR
Other - First Name:CHERI
Other - Middle Name:
Other - Last Name:HARRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, LPC
Mailing Address - Street 1:808 MOOREFIELD PARK DR
Mailing Address - Street 2:SUITE 119
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23236-3683
Mailing Address - Country:US
Mailing Address - Phone:180-095-0343
Mailing Address - Fax:
Practice Address - Street 1:808 MOOREFIELD PARK DR
Practice Address - Street 2:SUITE 119
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23236-3683
Practice Address - Country:US
Practice Address - Phone:180-095-0343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2008-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701003836101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional