Provider Demographics
NPI:1023848215
Name:HARRIS, CHERYL LIVINGSTON (LPC-MHSP, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:LIVINGSTON
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC-MHSP, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 SPRING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:RINGGOLD
Mailing Address - State:GA
Mailing Address - Zip Code:30736-8906
Mailing Address - Country:US
Mailing Address - Phone:931-542-8418
Mailing Address - Fax:
Practice Address - Street 1:127 SPRING MEADOWS DR
Practice Address - Street 2:
Practice Address - City:RINGGOLD
Practice Address - State:GA
Practice Address - Zip Code:30736-8906
Practice Address - Country:US
Practice Address - Phone:931-542-8418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-03
Last Update Date:2024-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4860101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional