NPI Code Details Logo

NPI 1568804532

NPI 1568804532 : CHERYL ANNE HEMSOTH LMHC : ANGOLA, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1568804532
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    CHERYL ANNE HEMSOTH LMHC
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/19/2013
-----------------------------------------------------
    Last Update Date     |    09/19/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    603 N WAYNE ST SUITE 2A
-----------------------------------------------------
    City                 |    ANGOLA
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46703-1081
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    260-668-8797
-----------------------------------------------------
    Fax                  |    260-665-1620
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13007 TOSCANA PASSAGE 
-----------------------------------------------------
    City                 |    FORT WAYNE
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46845
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    260-458-1599
-----------------------------------------------------
    Fax                  |    260-665-1620
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    101YP2500X
-----------------------------------------------------
    Taxonomy Name        |    Professional Counselor
-----------------------------------------------------
    License Number       |    39001337A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    101YM0800X
-----------------------------------------------------
    Taxonomy Name        |    Mental Health Counselor
-----------------------------------------------------
    License Number       |    39001337A
-----------------------------------------------------
    License Number State |    IN
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.