Provider Demographics
NPI:1609175884
Name:CHERIE A. WHITE INC.
Entity Type:Organization
Organization Name:CHERIE A. WHITE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:PCC
Authorized Official - Phone:216-337-1762
Mailing Address - Street 1:2260 WARRENSVILLE CENTER RD
Mailing Address - Street 2:203
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3146
Mailing Address - Country:US
Mailing Address - Phone:216-337-1762
Mailing Address - Fax:216-932-5663
Practice Address - Street 1:2260 WARRENSVILLE CENTER RD
Practice Address - Street 2:203
Practice Address - City:UNIVERSITY HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-3146
Practice Address - Country:US
Practice Address - Phone:216-337-1762
Practice Address - Fax:216-932-5663
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-27
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0008041101Y00000X, 101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty