Provider Demographics
NPI:1790037158
Name:AMES, CHERI (LPC, CACII)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:AMES
Suffix:
Gender:F
Credentials:LPC, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2413 NORTHVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-2815
Mailing Address - Country:US
Mailing Address - Phone:864-965-8893
Mailing Address - Fax:
Practice Address - Street 1:2413 NORTHVIEW AVE
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-2815
Practice Address - Country:US
Practice Address - Phone:864-965-8893
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4197101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional