Healthcare Provider Details

I. General information

NPI: 1568806735
Provider Name (Legal Business Name): CAROLY A CHERAS M.S., LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2013
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 W MAIN ST BLDG B
NORTHBOROUGH MA
01532-2132
US

IV. Provider business mailing address

3321 W HAMPTON POINTE DR
FLORENCE SC
29501-8678
US

V. Phone/Fax

Practice location:
  • Phone: 508-930-2147
  • Fax: 843-407-5452
Mailing address:
  • Phone: 508-930-2147
  • Fax: 843-407-5452

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6996
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number7581
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberTPMC7106
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: