Provider Demographics
NPI:1891742409
Name:BEBEY, CHERYL DENISE (LCSW CEAP)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:DENISE
Last Name:BEBEY
Suffix:
Gender:F
Credentials:LCSW CEAP
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Other - First Name:
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Mailing Address - Street 1:1501 R J CONLAN BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905
Mailing Address - Country:US
Mailing Address - Phone:321-723-8823
Mailing Address - Fax:321-723-9551
Practice Address - Street 1:1501 R J CONLAN BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905
Practice Address - Country:US
Practice Address - Phone:321-723-8823
Practice Address - Fax:321-723-9551
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-28
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSW32501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ5393Medicare PIN