Provider Demographics
NPI:1568644615
Name:CHERMS, DONALD GILBERT SR (PHD)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:GILBERT
Last Name:CHERMS
Suffix:SR
Gender:M
Credentials:PHD
Other - Prefix:DR
Other - First Name:DONALD
Other - Middle Name:GILBERT
Other - Last Name:CHERMS
Other - Suffix:SR
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:19 RAYNER DR
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-1984
Mailing Address - Country:US
Mailing Address - Phone:470-955-6171
Mailing Address - Fax:
Practice Address - Street 1:3025 HIGHWAY 154
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-6121
Practice Address - Country:US
Practice Address - Phone:470-955-6171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA104571-CBCCDC101YA0400X
101YP1600X, 103TC1900X
CAC0911091703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA104571OtherCALIFORNIA CERTIFICATION BOARD OF CHEMICAL DEPENDENCY COUNSELORS
GA23783OtherLPCA