Provider Demographics
NPI:1609581834
Name:EDWARDS, CHERYL A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:A
Last Name:EDWARDS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2060 WHITE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:GA
Mailing Address - Zip Code:30817-5000
Mailing Address - Country:US
Mailing Address - Phone:706-421-2151
Mailing Address - Fax:
Practice Address - Street 1:2060 WHITE ROCK RD
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:GA
Practice Address - Zip Code:30817-5000
Practice Address - Country:US
Practice Address - Phone:706-421-2151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health