Provider Demographics
NPI:1811502784
Name:BOHABOY, CHERIE MONET (LCSWA, CADCI)
Entity type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:MONET
Last Name:BOHABOY
Suffix:
Gender:F
Credentials:LCSWA, CADCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2627 GRIMSLEY ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-3135
Mailing Address - Country:US
Mailing Address - Phone:336-279-1227
Mailing Address - Fax:
Practice Address - Street 1:2627 GRIMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3135
Practice Address - Country:US
Practice Address - Phone:336-279-1227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2020-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NCPO151037101YM0800X
NCP0151371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health