Provider Demographics
NPI:1477175743
Name:CHERYL L BASSETT, LMSW, LMFT
Entity type:Organization
Organization Name:CHERYL L BASSETT, LMSW, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:BASSETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, LMFY
Authorized Official - Phone:810-363-5990
Mailing Address - Street 1:6602 LAKESHORE RD
Mailing Address - Street 2:
Mailing Address - City:BURTCHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48059-2213
Mailing Address - Country:US
Mailing Address - Phone:810-363-5990
Mailing Address - Fax:
Practice Address - Street 1:6602 LAKESHORE RD
Practice Address - Street 2:
Practice Address - City:BURTCHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48059-2213
Practice Address - Country:US
Practice Address - Phone:810-363-5990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-10
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty