Provider Demographics
NPI:1740607811
Name:EDINBYRD, CHERYL (LPC, LCDC-I, PHD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:EDINBYRD
Suffix:
Gender:F
Credentials:LPC, LCDC-I, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 SHADOW CRK
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-3508
Mailing Address - Country:US
Mailing Address - Phone:214-912-2614
Mailing Address - Fax:
Practice Address - Street 1:8035 E RL THRTN FWY STE 328
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-912-2614
Practice Address - Fax:214-812-9566
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX99424367A00000X, 176B00000X, 207V00000X, 175M00000X
374J00000X, 261QB0400X, 101YM0800X
TX68630101YP2500X, 101YA0400X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No374J00000XNursing Service Related ProvidersDoula
No176B00000XOther Service ProvidersMidwife
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No261QB0400XAmbulatory Health Care FacilitiesClinic/CenterBirthing
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No175M00000XOther Service ProvidersMidwife, Lay