Provider Demographics
NPI:1477266898
Name:COX, CHERIE ANNELIESE (NCC, LMHCA)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:ANNELIESE
Last Name:COX
Suffix:
Gender:F
Credentials:NCC, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 S LAKE PARK AVE STE B
Mailing Address - Street 2:
Mailing Address - City:HOBART
Mailing Address - State:IN
Mailing Address - Zip Code:46342-5961
Mailing Address - Country:US
Mailing Address - Phone:219-323-3311
Mailing Address - Fax:
Practice Address - Street 1:1265 S LAKE PARK AVE STE B
Practice Address - Street 2:
Practice Address - City:HOBART
Practice Address - State:IN
Practice Address - Zip Code:46342-5961
Practice Address - Country:US
Practice Address - Phone:219-323-3311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-30
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001774A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health