Provider Demographics
NPI:1831425263
Name:CHEROKEE CONSULTING, LLC
Entity type:Organization
Organization Name:CHEROKEE CONSULTING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR VLS
Authorized Official - Prefix:MS
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:LAVONNE
Authorized Official - Last Name:UMSTEAD
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:703-647-6034
Mailing Address - Street 1:1800 DIAGONAL ROAD
Mailing Address - Street 2:SUITE 600
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314
Mailing Address - Country:US
Mailing Address - Phone:703-647-6034
Mailing Address - Fax:
Practice Address - Street 1:1800 DIAGONAL RD
Practice Address - Street 2:SUITE 600
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-2840
Practice Address - Country:US
Practice Address - Phone:703-647-6034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-20
Last Update Date:2009-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X
MD101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD1407016181Medicaid
VA1407016181Medicaid