Michelle Ashby Cherry, LPC
Individual provider Active NPI Mental Health Counselor · Eden, UT
NPI 1003147745 · NPPES record last updated Oct 7, 2011
Key facts
- NPI
- 1003147745
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 349328-6004 (UT)
- Practice address
- 2461 N Shady Lane
Eden, UT 84310-1091 - Phone
- (801) 458-0502
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349328-6004 | UT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 349328-6004 | UT | Yes |
Addresses
Primary practice location
2461 N Shady Lane
Eden, UT 84310-1091
Mailing address
PO Box 1091
Eden, UT 84310-1091
Phone (801) 458-0502
Other providers in Eden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.