Provider Demographics
NPI:1194518027
Name:BERRY, CHERISH
Entity type:Individual
Prefix:
First Name:CHERISH
Middle Name:
Last Name:BERRY
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 1:5033 HAYDEN XING
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-3513
Mailing Address - Country:US
Mailing Address - Phone:614-598-8020
Mailing Address - Fax:
Practice Address - Street 1:6810 E MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-2217
Practice Address - Country:US
Practice Address - Phone:614-357-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker