Provider Demographics
NPI:1841421161
Name:CHERRY, ERIKA MICHELLE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHELLE
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:M
Other - Last Name:CHERRY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:910 SW KENYON ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-4011
Mailing Address - Country:US
Mailing Address - Phone:501-658-9546
Mailing Address - Fax:501-658-9546
Practice Address - Street 1:910 SW KENYON ST UNIT A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-4011
Practice Address - Country:US
Practice Address - Phone:501-658-9546
Practice Address - Fax:501-658-9546
Is Sole Proprietor?:No
Enumeration Date:2009-08-04
Last Update Date:2018-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
WALH60457083101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator