Provider Demographics
NPI:1558587618
Name:HOUSTON, CYNETTE CRESCENDO (BSW)
Entity Type:Individual
Prefix:
First Name:CYNETTE
Middle Name:CRESCENDO
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1675 PINELLAS POINT DR S
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33712-6040
Mailing Address - Country:US
Mailing Address - Phone:727-865-6727
Mailing Address - Fax:727-864-6791
Practice Address - Street 1:1675 PINELLAS POINT DR S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33712-6040
Practice Address - Country:US
Practice Address - Phone:727-865-6727
Practice Address - Fax:727-864-6791
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker