Provider Demographics
NPI:1598275364
Name:ROLLINS, CINDY N
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:N
Last Name:ROLLINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 852
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75606-0852
Mailing Address - Country:US
Mailing Address - Phone:903-424-8343
Mailing Address - Fax:
Practice Address - Street 1:801 S MOBBERLY AVE
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75602-2037
Practice Address - Country:US
Practice Address - Phone:903-424-8343
Practice Address - Fax:903-424-8343
Is Sole Proprietor?:No
Enumeration Date:2017-10-06
Last Update Date:2017-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator