# CHERYL NIX LCSW LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639716434
- **Authorized official:** CHERYL NIX LCSW (OWNER)
- **Authorized official phone:** (541) 797-1643

## Contact information

- **Practice address:** 190 NW 4TH ST, PRINEVILLE, OR 97754-1820
- **Practice address phone:** (541) 416-3697
- **Mailing address:** 190 NW 4TH ST, PRINEVILLE, OR 97754-1820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 11/29/2019
- **Last updated:** 06/21/2020