Provider Demographics
NPI:1861648149
Name:EADS, CHERI Y (LMFT 50880)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:Y
Last Name:EADS
Suffix:
Gender:F
Credentials:LMFT 50880
Other - Prefix:MS
Other - First Name:CHERI
Other - Middle Name:Y
Other - Last Name:PATIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IMFT 52988
Mailing Address - Street 1:12070 LAKEWOOD BLVD # 1073
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-2659
Mailing Address - Country:US
Mailing Address - Phone:562-449-3237
Mailing Address - Fax:
Practice Address - Street 1:7459 COREY ST
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2117
Practice Address - Country:US
Practice Address - Phone:562-291-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50880106H00000X
CA52988106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist