Provider Demographics
NPI:1164753489
Name:HEATH, CINDY GAYE (LMFT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:GAYE
Last Name:HEATH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8430 E SPOUSE DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-6142
Mailing Address - Country:US
Mailing Address - Phone:928-772-4467
Mailing Address - Fax:928-772-7595
Practice Address - Street 1:8430 E SPOUSE DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-6142
Practice Address - Country:US
Practice Address - Phone:928-772-4467
Practice Address - Fax:928-772-7595
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-26
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT10073170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS