Provider Demographics
NPI:1871857755
Name:EVERHART, CHERYL (LPC, CDCA)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:EVERHART
Suffix:
Gender:F
Credentials:LPC, CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8919 BROOKSIDE AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-7109
Mailing Address - Country:US
Mailing Address - Phone:513-760-6463
Mailing Address - Fax:
Practice Address - Street 1:8919 BROOKSIDE AVE STE 105
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-7109
Practice Address - Country:US
Practice Address - Phone:513-760-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-26
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE1100079101YP2500X
OHCDCA.120303101YA0400X
OHC.1100079101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health