Provider Demographics
NPI:1992971139
Name:HUNLEY, CHERYL D (LCSW)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:D
Last Name:HUNLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:D
Other - Last Name:HUNLEY-BOTA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSSW, CMSW
Mailing Address - Street 1:PO BOX 4000
Mailing Address - Street 2:BUILDING 19, 11HB
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:TN
Mailing Address - Zip Code:37684-4000
Mailing Address - Country:US
Mailing Address - Phone:423-979-4340
Mailing Address - Fax:
Practice Address - Street 1:99 VETERANS WAY
Practice Address - Street 2:JAMES H. QUILLEN VA MEDICAL CENTER
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-979-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-07
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW57801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical