Provider Demographics
NPI:1699152785
Name:HAMES, CHERYTI J (LPC)
Entity type:Individual
Prefix:
First Name:CHERYTI
Middle Name:J
Last Name:HAMES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHERYTI
Other - Middle Name:J
Other - Last Name:MCGHEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:210 S MAIN ST STE 14
Mailing Address - Street 2:
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116-4763
Mailing Address - Country:US
Mailing Address - Phone:972-338-0004
Mailing Address - Fax:
Practice Address - Street 1:210 S MAIN ST STE 14
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4763
Practice Address - Country:US
Practice Address - Phone:972-338-0004
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19659101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional