Provider Demographics
NPI:1619863792
Name:CHEEVER, CHARITA
Entity type:Individual
Prefix:
First Name:CHARITA
Middle Name:
Last Name:CHEEVER
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 1:8510 N ARMENIA AVE APT 1816
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-2555
Mailing Address - Country:US
Mailing Address - Phone:614-530-1359
Mailing Address - Fax:
Practice Address - Street 1:1211 TECH BLVD STE 137
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-7845
Practice Address - Country:US
Practice Address - Phone:813-435-9737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH25944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1497461693OtherGROUP NPI