Cheyann Nicole Humphries

Individual provider Active NPI Mental Health Counselor · Rutherfordton, NC

NPI 1144054552 · NPPES record last updated Aug 28, 2024

Key facts

NPI
1144054552
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
431 S Main St Ste 9&10
Rutherfordton, NC 28139-2946
Phone
(828) 289-7612
NPI assigned
Aug 28, 2024
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Flourishing Lives Counseling, PLLC Current
since Sep 1, 2024
Accepting new patients

Locations

431 S Main St
Ste 10
Rutherfordton, NC 28139
Phone (828) 289-7612

431 S Main St
Ste 910
Rutherfordton, NC 28139
Phone (828) 289-7612

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

431 S Main St Ste 9&10
Rutherfordton, NC 28139-2946

Mailing address

PO Box 1134
Gaffney, SC 29342-1134
Phone (864) 279-1366

Other providers in Rutherfordton, NC

All providers in Rutherfordton, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.