Provider Demographics
NPI:1164477030
Name:CHEEK, AMIE LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:LEE
Last Name:CHEEK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1071
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:TX
Mailing Address - Zip Code:76645-1071
Mailing Address - Country:US
Mailing Address - Phone:254-580-9116
Mailing Address - Fax:254-580-0833
Practice Address - Street 1:105 N PLEASANT ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:TX
Practice Address - Zip Code:76645-2149
Practice Address - Country:US
Practice Address - Phone:254-580-9116
Practice Address - Fax:254-580-0833
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX283921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00790PMedicare ID - Type Unspecified