MEDICARE: CHEROKEE CONSULTING, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor	MD
3	101YM0800X	Mental Health Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831425263
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHEROKEE CONSULTING, LLC

Provider Business Mailing Address
First Line	:	1800 DIAGONAL ROAD
Second Line	:	SUITE 600
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314
Country	:	US
Telephone Number	:	703-647-6034
Fax Number	:

Provider Business Practice Location Address
First Line	:	1800 DIAGONAL RD
Second Line	:	SUITE 600
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2840
Country	:	US
Telephone Number	:	703-647-6034
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR VLS
Name	:	MS. APRIL LAVONNE UMSTEAD
Credential	:	MA
Telephone Number	:	703-647-6034

Provider Enumeration Date	:	10/20/2009
Last Update Date	:	10/20/2009

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Directions to “CHEROKEE CONSULTING, LLC ” Practice Location

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