Provider Demographics
NPI:1861851669
Name:PINKSTON, CHERICE
Entity Type:Individual
Prefix:
First Name:CHERICE
Middle Name:
Last Name:PINKSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3035 STONE MOUNTAIN ST UNIT 519
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-1105
Mailing Address - Country:US
Mailing Address - Phone:678-689-3227
Mailing Address - Fax:
Practice Address - Street 1:200 E ROBINSON ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801
Practice Address - Country:US
Practice Address - Phone:407-440-4509
Practice Address - Fax:407-440-4510
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-22
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health