Individual
CHERYL GIERKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3840 HULEN ST, FORT WORTH, TX 76107-7277
(817) 569-4395
(817) 569-4517
Mailing address
PO BOX 2603, HTN, CLIENT ACCOUNTING, FORT WORTH, TX 76113-2603
(817) 569-4395
(817) 569-4517
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
13371
TX
101YP2500X
Professional Counselor
Primary
13371
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0269409-02
—
TX
05
—
026940903
—
TX
01
—
026940904
CSHCN
TX
01
—
8585LL
BCBS
TX
Enumeration date
08/16/2006
Last updated
02/07/2012
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