Provider Demographics
NPI:1225455280
Name:HALL, CHERIE S (MS, LPC)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:S
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4909 PEBBLE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-8281
Mailing Address - Country:US
Mailing Address - Phone:334-444-3992
Mailing Address - Fax:
Practice Address - Street 1:2202 GATEWAY DR
Practice Address - Street 2:SUITE D
Practice Address - City:OPELIKA
Practice Address - State:AL
Practice Address - Zip Code:36801-6869
Practice Address - Country:US
Practice Address - Phone:334-444-6140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-27
Last Update Date:2017-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3253101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health