Provider Demographics
NPI:1235358250
Name:PURCELL, CYNTHIA M (LMHC)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:M
Last Name:PURCELL
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 1:99-40 63RD ROAD APT. 11P
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374
Mailing Address - Country:US
Mailing Address - Phone:347-472-6260
Mailing Address - Fax:
Practice Address - Street 1:99-40 63RD ROAD APT. 11P
Practice Address - Street 2:TELEHEALTH ONLY; NO ONSITE APPOINTMENTS
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:347-472-6260
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2023-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008354101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health