Provider Demographics
NPI:1053018150
Name:REXROAT, CHERISH L (LMSW)
Entity type:Individual
Prefix:
First Name:CHERISH
Middle Name:L
Last Name:REXROAT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1817 LONG OAK DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-4691
Mailing Address - Country:US
Mailing Address - Phone:512-709-1291
Mailing Address - Fax:
Practice Address - Street 1:2600 S LOOP W STE 445
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-2606
Practice Address - Country:US
Practice Address - Phone:832-406-4210
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109737104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker