Provider Demographics
NPI:1609988898
Name:CIMINO-BRAUNSTEIN, GRACE LYNN (LMHC)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:LYNN
Last Name:CIMINO-BRAUNSTEIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:GRACE
Other - Middle Name:LYNN
Other - Last Name:CIMINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1881 UNIVERSITY DRIVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:38071
Mailing Address - Country:US
Mailing Address - Phone:954-345-0252
Mailing Address - Fax:954-345-0253
Practice Address - Street 1:1881 UNIVERSITY DRIVE
Practice Address - Street 2:SUITE 202
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:38071
Practice Address - Country:US
Practice Address - Phone:954-345-0252
Practice Address - Fax:954-345-0253
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH0002026101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health