Provider Demographics
NPI:1043372766
Name:NEAL, CHERYL A (LMHC)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:A
Last Name:NEAL
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:821 MOUNT TABOR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW ALBANY
Mailing Address - State:IN
Mailing Address - Zip Code:47150-6427
Mailing Address - Country:US
Mailing Address - Phone:812-949-9241
Mailing Address - Fax:
Practice Address - Street 1:821 MOUNT TABOR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW ALBANY
Practice Address - State:IN
Practice Address - Zip Code:47150-6427
Practice Address - Country:US
Practice Address - Phone:812-949-9241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39000763A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health