Provider Demographics
NPI:1508326877
Name:DOYLE, CHERI L (LCSW)
Entity Type:Individual
Prefix:MS
First Name:CHERI
Middle Name:L
Last Name:DOYLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24103 S HIGHWAY 66 TRLR 94
Mailing Address - Street 2:
Mailing Address - City:CLAREMORE
Mailing Address - State:OK
Mailing Address - Zip Code:74019-5101
Mailing Address - Country:US
Mailing Address - Phone:918-814-6241
Mailing Address - Fax:
Practice Address - Street 1:FOUNDATION BEHAVIORAL HEALTH
Practice Address - Street 2:1218 N FLORENCE AVE SUITE 1218B
Practice Address - City:CLAREMORE
Practice Address - State:OK
Practice Address - Zip Code:74017
Practice Address - Country:US
Practice Address - Phone:918-814-6241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-22
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK67531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical