Provider Demographics
NPI:1497513394
Name:FARMER-MILES, CHERISE (LPC)
Entity type:Individual
Prefix:
First Name:CHERISE
Middle Name:
Last Name:FARMER-MILES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHERISE
Other - Middle Name:
Other - Last Name:MILES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:140 TEAL RDG
Mailing Address - Street 2:
Mailing Address - City:CANYON LAKE
Mailing Address - State:TX
Mailing Address - Zip Code:78133-5403
Mailing Address - Country:US
Mailing Address - Phone:830-888-9869
Mailing Address - Fax:
Practice Address - Street 1:140 TEAL RDG
Practice Address - Street 2:
Practice Address - City:CANYON LAKE
Practice Address - State:TX
Practice Address - Zip Code:78133-5403
Practice Address - Country:US
Practice Address - Phone:830-888-9869
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-06
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92013101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional