Provider Demographics
NPI:1215676671
Name:ESTELHOMME, CHERRY D (PHD LPC)
Entity type:Individual
Prefix:DR
First Name:CHERRY
Middle Name:D
Last Name:ESTELHOMME
Suffix:
Gender:F
Credentials:PHD LPC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:DR. CHERRY ESTELHOMME NEW FOUNDATIONS CCC
Mailing Address - Street 2:2112 REX ROAD
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260
Mailing Address - Country:US
Mailing Address - Phone:678-362-8309
Mailing Address - Fax:
Practice Address - Street 1:239 NEW HOPE RD APT 6-105
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-2512
Practice Address - Country:US
Practice Address - Phone:678-362-8309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-02
Last Update Date:2022-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA011530101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health