Provider Demographics
NPI:1275854903
Name:CAUSEY, CYNTHIA DANIELLE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:DANIELLE
Last Name:CAUSEY
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1285 MARKS CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-6329
Mailing Address - Country:US
Mailing Address - Phone:404-583-6668
Mailing Address - Fax:
Practice Address - Street 1:1285 MARKS CHURCH RD
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-6329
Practice Address - Country:US
Practice Address - Phone:404-583-6668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2010-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional