Provider Demographics
NPI:1518094150
Name:THOMAS, CHERYL L (PHD)
Entity type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:L
Last Name:THOMAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:L
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MAED
Mailing Address - Street 1:201 BURKDALE CT
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8372
Mailing Address - Country:US
Mailing Address - Phone:330-351-0862
Mailing Address - Fax:330-334-2235
Practice Address - Street 1:140 WADSWORTH RD
Practice Address - Street 2:
Practice Address - City:WADSWORTH
Practice Address - State:OH
Practice Address - Zip Code:44281-9503
Practice Address - Country:US
Practice Address - Phone:330-510-0222
Practice Address - Fax:330-334-2235
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHICDC. 131253-CS101YA0400X
OHF. 1300010106H00000X
OHE.0602091101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist