Provider Demographics
NPI:1386783645
Name:CHEEK, BRIAN EDWARD
Entity type:Individual
Prefix:
First Name:BRIAN
Middle Name:EDWARD
Last Name:CHEEK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:TN
Mailing Address - Zip Code:38237-2007
Mailing Address - Country:US
Mailing Address - Phone:731-435-9118
Mailing Address - Fax:
Practice Address - Street 1:1209 HIGHWAY 641 S
Practice Address - Street 2:SUITE A
Practice Address - City:PARIS
Practice Address - State:TN
Practice Address - Zip Code:38242-5137
Practice Address - Country:US
Practice Address - Phone:731-641-4168
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health