Provider Demographics
NPI:1235282914
Name:RAGSDALE, CYNTHIA MARIE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:MARIE
Last Name:RAGSDALE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 E 86TH ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1860
Mailing Address - Country:US
Mailing Address - Phone:317-466-1516
Mailing Address - Fax:317-466-1516
Practice Address - Street 1:931 E 86TH ST
Practice Address - Street 2:STE. 101
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1860
Practice Address - Country:US
Practice Address - Phone:317-466-1516
Practice Address - Fax:317-466-1516
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-18
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39001532A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health