Provider Demographics
NPI:1033994462
Name:SUAREZ, CYNTHIA R (LPC-S)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:SUAREZ
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18965 FM 2252
Mailing Address - Street 2:
Mailing Address - City:GARDEN RIDGE
Mailing Address - State:TX
Mailing Address - Zip Code:78266-2561
Mailing Address - Country:US
Mailing Address - Phone:726-230-9563
Mailing Address - Fax:
Practice Address - Street 1:18965 FM 2252 STE II
Practice Address - Street 2:
Practice Address - City:GARDEN RIDGE
Practice Address - State:TX
Practice Address - Zip Code:78266-2561
Practice Address - Country:US
Practice Address - Phone:726-230-9563
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-24
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18409101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional