Provider Demographics
NPI:1831826635
Name:HAREWOOD BELGRAVE, CHERYL E (MS, LMHC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:E
Last Name:HAREWOOD BELGRAVE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10065 DELANO DR E
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-7589
Mailing Address - Country:US
Mailing Address - Phone:904-207-0896
Mailing Address - Fax:
Practice Address - Street 1:10065 DELANO DR E
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-7589
Practice Address - Country:US
Practice Address - Phone:904-207-0896
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-02
Last Update Date:2022-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH21023101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health