Provider Demographics
NPI:1649784109
Name:MITCHELL, CHERIE LOU (LCSW)
Entity type:Individual
Prefix:
First Name:CHERIE
Middle Name:LOU
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1775 SPRING CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-6754
Mailing Address - Country:US
Mailing Address - Phone:406-373-3565
Mailing Address - Fax:406-373-3560
Practice Address - Street 1:1775 SPRING CREEK DR
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-6754
Practice Address - Country:US
Practice Address - Phone:406-373-3565
Practice Address - Fax:406-373-3560
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical