Provider Demographics
NPI:1568708188
Name:SMITH, CHERIE L (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:L
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7400 W 14TH AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80214-4234
Mailing Address - Country:US
Mailing Address - Phone:303-927-8582
Mailing Address - Fax:303-539-9804
Practice Address - Street 1:7400 W. 14TH AVE., SUITE 7
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-4234
Practice Address - Country:US
Practice Address - Phone:303-927-8582
Practice Address - Fax:303-539-9804
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-31
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health