Provider Demographics
NPI:1760978266
Name:PRICE, CHERYL SOPHIA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:SOPHIA
Last Name:PRICE
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 1:663 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48371-3564
Mailing Address - Country:US
Mailing Address - Phone:810-919-7897
Mailing Address - Fax:
Practice Address - Street 1:51 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:MI
Practice Address - Zip Code:48371-6418
Practice Address - Country:US
Practice Address - Phone:810-919-7897
Practice Address - Fax:810-538-0231
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-08
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010518101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor