Provider Demographics
NPI:1174916928
Name:CHERIAN, SHEABA (MA, LPC-MHSP)
Entity type:Individual
Prefix:
First Name:SHEABA
Middle Name:
Last Name:CHERIAN
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7161 LEE HWY
Mailing Address - Street 2:400
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-8608
Mailing Address - Country:US
Mailing Address - Phone:423-708-8670
Mailing Address - Fax:423-708-8671
Practice Address - Street 1:7161 LEE HWY
Practice Address - Street 2:400
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-8608
Practice Address - Country:US
Practice Address - Phone:423-708-8670
Practice Address - Fax:423-708-8671
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-17
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3752101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional