Provider Demographics
NPI:1275257701
Name:CNC COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:CNC COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSEILLANT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:786-627-7879
Mailing Address - Street 1:1975 E SUNRISE BLVD STE 709
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-1454
Mailing Address - Country:US
Mailing Address - Phone:786-897-4814
Mailing Address - Fax:
Practice Address - Street 1:1975 E SUNRISE BLVD STE 709
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1454
Practice Address - Country:US
Practice Address - Phone:786-627-7879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty