Provider Demographics
NPI:1780178012
Name:MYERS, CHERYL LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LEE
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:CHERYL
Other - Middle Name:TURZANSKI
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:41025 THOMAS BOAT LANDING ROAD
Mailing Address - Street 2:
Mailing Address - City:UMATILLA
Mailing Address - State:FL
Mailing Address - Zip Code:32784
Mailing Address - Country:US
Mailing Address - Phone:352-669-1012
Mailing Address - Fax:352-669-5554
Practice Address - Street 1:41025 THOMAS BOAT LANDING ROAD
Practice Address - Street 2:
Practice Address - City:UMATILLA
Practice Address - State:FL
Practice Address - Zip Code:32784
Practice Address - Country:US
Practice Address - Phone:352-669-1012
Practice Address - Fax:352-669-5554
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW31331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical