Provider Demographics
NPI:1710103700
Name:CRISP, CHERRI MELISSA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERRI
Middle Name:MELISSA
Last Name:CRISP
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 1:510 COTTON BLOOM CT
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:SC
Mailing Address - Zip Code:29745-2905
Mailing Address - Country:US
Mailing Address - Phone:803-524-7146
Mailing Address - Fax:803-329-7843
Practice Address - Street 1:510 COTTON BLOOM CT
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:SC
Practice Address - Zip Code:29745-2905
Practice Address - Country:US
Practice Address - Phone:803-524-7146
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health