Provider Demographics
NPI:1811367279
Name:SEARS, CHERYL A (LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:SEARS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:A
Other - Last Name:MUMMERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2938 JEFFERSON DR
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-8969
Mailing Address - Country:US
Mailing Address - Phone:724-525-0139
Mailing Address - Fax:717-597-8933
Practice Address - Street 1:50 EASTERN AVE
Practice Address - Street 2:SUITE 135
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-1100
Practice Address - Country:US
Practice Address - Phone:717-597-0095
Practice Address - Fax:717-597-8933
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY#006614101YM0800X
PA#PC007326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health