Provider Demographics
NPI:1588996581
Name:PAULHUS, CHERYL L (LPC)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:PAULHUS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5913 TURTLE CREEK TRL
Mailing Address - Street 2:
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-7937
Mailing Address - Country:US
Mailing Address - Phone:603-731-9908
Mailing Address - Fax:
Practice Address - Street 1:5913 TURTLE CREEK TRL
Practice Address - Street 2:
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-7937
Practice Address - Country:US
Practice Address - Phone:603-731-9908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-02
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004579101YP2500X
TX64175101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004945026Medicaid