Provider Demographics
NPI:1407446107
Name:CHERYL L LUDVIK, PLLC
Entity Type:Organization
Organization Name:CHERYL L LUDVIK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /THERAPISTS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:LUDVIK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-816-5526
Mailing Address - Street 1:520 HARBOUR PT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23451-7132
Mailing Address - Country:US
Mailing Address - Phone:757-816-5526
Mailing Address - Fax:
Practice Address - Street 1:1403 GREENBRIER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2876
Practice Address - Country:US
Practice Address - Phone:757-436-2444
Practice Address - Fax:757-547-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-26
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty