Provider Demographics
NPI:1134584394
Name:CHERRY, LINDLEY (LCAS, LCMHC, CCS)
Entity type:Individual
Prefix:
First Name:LINDLEY
Middle Name:
Last Name:CHERRY
Suffix:
Gender:F
Credentials:LCAS, LCMHC, CCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 BROOKSIDE WAY
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-8480
Mailing Address - Country:US
Mailing Address - Phone:336-606-1862
Mailing Address - Fax:
Practice Address - Street 1:118 BROOKSIDE WAY
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27863-8480
Practice Address - Country:US
Practice Address - Phone:336-606-1862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-15
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21909101YA0400X
NC13022101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)