Healthcare Provider Details

I. General information

NPI: 1013094093
Provider Name (Legal Business Name): CHERYL ANN HESS PMHNP, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date: 03/03/2021
Reactivation Date: 04/06/2021

III. Provider practice location address

1200 RIDGEFIELD BLVD STE 250
ASHEVILLE NC
28806-2287
US

IV. Provider business mailing address

2715 COLONIAL DR
COLUMBIA SC
29203-6818
US

V. Phone/Fax

Practice location:
  • Phone: 828-633-6070
  • Fax: 828-633-6073
Mailing address:
  • Phone: 919-354-0840
  • Fax: 877-840-6694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLSW0000003700
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberAPN0000017669
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5009551
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number202112142NP-PP
License Number StateOR
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18764
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: