Provider Demographics
NPI:1477664597
Name:THOMAS GARRETT, CHERYL (MED, ALC, VEFC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:THOMAS GARRETT
Suffix:
Gender:F
Credentials:MED, ALC, VEFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1137 SHADY LANE CIR
Mailing Address - Street 2:
Mailing Address - City:TALLADEGA
Mailing Address - State:AL
Mailing Address - Zip Code:35160-2940
Mailing Address - Country:US
Mailing Address - Phone:256-499-2039
Mailing Address - Fax:
Practice Address - Street 1:1137 SHADY LANE CIR
Practice Address - Street 2:
Practice Address - City:TALLADEGA
Practice Address - State:AL
Practice Address - Zip Code:35160-2940
Practice Address - Country:US
Practice Address - Phone:256-499-2039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health