Provider Demographics
NPI:1043883085
Name:CHERRY, STEPHENS WHITEHURST (MS, CRC, LCMHC)
Entity type:Individual
Prefix:
First Name:STEPHENS
Middle Name:WHITEHURST
Last Name:CHERRY
Suffix:
Gender:F
Credentials:MS, CRC, LCMHC
Other - Prefix:
Other - First Name:STEPHENS
Other - Middle Name:TAYLOR
Other - Last Name:WHITEHURST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC, LCMHC
Mailing Address - Street 1:5716 FAYETTEVILLE RD STE 202
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9661
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5716 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9661
Practice Address - Country:US
Practice Address - Phone:919-537-9763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC16612101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health