Provider Demographics
NPI:1912760059
Name:CHERYL LCOOP LMHC
Entity type:Organization
Organization Name:CHERYL LCOOP LMHC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER/LMHC
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:COOP
Authorized Official - Suffix:
Authorized Official - Credentials:MC
Authorized Official - Phone:360-820-6397
Mailing Address - Street 1:PO BOX 273
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-0273
Mailing Address - Country:US
Mailing Address - Phone:360-820-6397
Mailing Address - Fax:
Practice Address - Street 1:6046 PORTAL WAY STE 104
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-7829
Practice Address - Country:US
Practice Address - Phone:360-820-6397
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-01
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty