MEDICARE: MS. LISEANNE A CHERUBIN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1427611813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISEANNE A CHERUBIN MS

Provider Business Mailing Address
First Line	:	2219 HOPE ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-1627
Country	:	US
Telephone Number	:	754-263-1003
Fax Number	:

Provider Business Practice Location Address
First Line	:	2219 HOPE ST
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-1627
Country	:	US
Telephone Number	:	754-263-1003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2019
Last Update Date	:	04/21/2019

Similar Medicare Providers

1457489965 — ABILITY PATHWAYS INCORPORATED
Practice Location Address:

8141 TROOST AVE
N HOLLYWOOD, CA
91605-1627

Practice Phone: 818-767-3618
Practice Fax: 909-981-0296

1447388756 — ABILITY PATHWAYS INC
Practice Location Address:

8137 TROOST AVE
N HOLLYWOOD, CA
91605-1627

Practice Phone: 818-767-7759
Practice Fax: 909-981-0296

1245765791 — MICHELLE CLARKE
Practice Location Address:

8141 TROOST AVE
N HOLLYWOOD, CA
91605-1627

Practice Phone: 818-767-3618
Practice Fax: 909-981-0296

1063381275 — NEXCARE SUPPLY INC
Practice Location Address:

5742 LANKERSHIM BLVD
NORTH HOLLYWOOD, CA
91601-1627

Practice Phone: 818-856-8050
Practice Fax: 818-856-8051

1972454528 — HENDERSON BEHAVIORAL HEALTH, INC.
Practice Location Address:

1957 JACKSON ST
HOLLYWOOD, FL
33020-5021

Practice Phone: 954-486-4005
Practice Fax: 954-497-3857

1114501533 — MEGAN POTTER LMHC
Practice Location Address:

1818 SHERIDAN ST STE 205
HOLLYWOOD, FL
33020-2113

Practice Phone: 954-589-2001
Practice Fax: 754-703-5354

Directions to “ MS. LISEANNE A CHERUBIN MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.