MEDICARE: MS. CHERIE L. KUNIK MSN, APRN, PMHNP-BC

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	363LA2200X	Adult Health Nurse Practitioner	RN112816	GA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0104515-C-NP	CO
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN112816	GA

General Provider Information

NPI Number	:	1881806594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CHERIE L. KUNIK MSN, APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	2425 NORTH DECATUR ROAD
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30033
Country	:	US
Telephone Number	:	404-358-6723
Fax Number	:

Provider Business Practice Location Address
First Line	:	2897 N DRUID HILLS RD NE STE 333
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30329-3924
Country	:	US
Telephone Number	:	404-480-0618
Fax Number	:

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

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/25/2025

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