Provider Demographics
NPI:1558782854
Name:SAVAGEAU, CHERYL
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:
Last Name:SAVAGEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 CRESTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-1415
Mailing Address - Country:US
Mailing Address - Phone:864-901-3168
Mailing Address - Fax:
Practice Address - Street 1:605 CRESTWOOD DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29609-1415
Practice Address - Country:US
Practice Address - Phone:864-901-3168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-04
Last Update Date:2014-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5335101YP2500X
OHE-01648101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional