Provider Demographics
NPI:1497960389
Name:CHEERS, CYNTHIA MARLOWE (LPC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:MARLOWE
Last Name:CHEERS
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 1721
Mailing Address - Street 2:
Mailing Address - City:SHALLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28459
Mailing Address - Country:US
Mailing Address - Phone:910-619-8586
Mailing Address - Fax:910-754-9288
Practice Address - Street 1:5285-19E MAIN STREET
Practice Address - Street 2:
Practice Address - City:SHALLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28470-7502
Practice Address - Country:US
Practice Address - Phone:910-619-8586
Practice Address - Fax:910-754-9288
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-13
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4055101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional