Provider Demographics
NPI:1588715452
Name:TUNNELL, CHERYL SIMS (MS, LPC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:SIMS
Last Name:TUNNELL
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1620 BAY CREST TRL
Mailing Address - Street 2:
Mailing Address - City:HEATH
Mailing Address - State:TX
Mailing Address - Zip Code:75032-7620
Mailing Address - Country:US
Mailing Address - Phone:214-213-2101
Mailing Address - Fax:
Practice Address - Street 1:2255 RIDGE RD STE 210
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5146
Practice Address - Country:US
Practice Address - Phone:972-722-1104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2009-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18958101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX7202LCOtherBCBS TEXAS