Provider Demographics
NPI:1588640551
Name:COOK, CHERIE LYNN (LPC)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:LYNN
Last Name:COOK
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 1:125 WELLNESS WAY
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-6478
Mailing Address - Country:US
Mailing Address - Phone:501-624-7111
Mailing Address - Fax:501-620-5109
Practice Address - Street 1:125 WELLNESS WAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913
Practice Address - Country:US
Practice Address - Phone:501-624-7111
Practice Address - Fax:501-620-5109
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP0312050101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR60054OtherAETNA
AR1588640551OtherTRICARE
ARMIS 773918000OtherMAGELLAN
AR116399726Medicaid
AR710401764OtherMHNET
AR961460OtherUSA MANAGED CARE
11633200OtherCAQH
AR1588640551OtherUSA MGD CARE
AR234205OtherCOMPSYCH
AR4070021000OtherQUAL-CHOICE
AR71-0401764OtherCORPHEALTH
AR1588640551OtherNOVA SYSTEMS / GMCO
AR2204690OtherCIGNA BEHAVIORAL HEALTH
AR348111OtherMHN NETWORK
1043297302OtherVALUE OPTIONS
AR598175OtherVALUE OPTIONS (NON-MILITARY)
AR5X662OtherBLUE CROSS/BLUE SHIELD