Provider Demographics
NPI:1205542578
Name:HEALY, CHERYL A (MA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:HEALY
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6949 RIOJA CT
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89436-7153
Mailing Address - Country:US
Mailing Address - Phone:775-399-3884
Mailing Address - Fax:
Practice Address - Street 1:6949 RIOJA CT
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89436-7153
Practice Address - Country:US
Practice Address - Phone:775-399-3884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician