Provider Demographics
NPI:1891490157
Name:HERZOG ARNEILL, CHERYL (LMSW)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:HERZOG ARNEILL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9589 OUTLOOK DR
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-2837
Mailing Address - Country:US
Mailing Address - Phone:816-719-9505
Mailing Address - Fax:
Practice Address - Street 1:9589 OUTLOOK DR
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-2837
Practice Address - Country:US
Practice Address - Phone:816-719-9505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
KS12018101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health