Provider Demographics
NPI:1356543045
Name:HAMAN, CHERYL B (LPC MAC SAP)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:B
Last Name:HAMAN
Suffix:
Gender:F
Credentials:LPC MAC SAP
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:HOLLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 EZELL STREET
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29306
Mailing Address - Country:US
Mailing Address - Phone:864-573-5956
Mailing Address - Fax:864-573-7353
Practice Address - Street 1:200 EZELL STREET
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29306
Practice Address - Country:US
Practice Address - Phone:864-573-5956
Practice Address - Fax:864-573-7353
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
4251101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor