Provider Demographics
NPI:1972801009
Name:RIOS, CHERIE (LPC)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:RIOS
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 1:1606 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHENIX CITY
Mailing Address - State:AL
Mailing Address - Zip Code:36867-5081
Mailing Address - Country:US
Mailing Address - Phone:334-480-8888
Mailing Address - Fax:866-596-4962
Practice Address - Street 1:1606 BROAD ST
Practice Address - Street 2:
Practice Address - City:PHENIX CITY
Practice Address - State:AL
Practice Address - Zip Code:36867-5081
Practice Address - Country:US
Practice Address - Phone:334-480-8888
Practice Address - Fax:866-596-4962
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-15
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64882101YP2500X
AL2988101YP2500X
GAC0110101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)