Healthcare Provider Details

I. General information

NPI: 1154233690
Provider Name (Legal Business Name): CHERYL CHRISTIE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8431 KATY FWY
HOUSTON TX
77024-1931
US

IV. Provider business mailing address

8431 KATY FWY
HOUSTON TX
77024-1931
US

V. Phone/Fax

Practice location:
  • Phone: 713-955-4302
  • Fax: 281-626-0285
Mailing address:
  • Phone: 713-955-4302
  • Fax: 281-626-0285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number103859
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: