Provider Demographics
NPI:1861034977
Name:GILBERT, CHERYL ROSA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ROSA
Last Name:GILBERT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8815 LAKERIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40272-2405
Mailing Address - Country:US
Mailing Address - Phone:502-608-8581
Mailing Address - Fax:833-953-0891
Practice Address - Street 1:8815 LAKERIDGE DR
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40272-2405
Practice Address - Country:US
Practice Address - Phone:502-608-8581
Practice Address - Fax:833-953-0891
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-09
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY251449106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist