Provider Demographics
NPI:1134473747
Name:REEL, CHERI ELIZABETH (LPC)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:ELIZABETH
Last Name:REEL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8002 W GATE BLVD UNIT B
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-6815
Mailing Address - Country:US
Mailing Address - Phone:512-590-5511
Mailing Address - Fax:
Practice Address - Street 1:1011 MEREDITH DR STE 5
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-3763
Practice Address - Country:US
Practice Address - Phone:512-590-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-04
Last Update Date:2012-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67766101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional