Provider Demographics
NPI:1659467850
Name:PLEMONS, CYNTHIA LM (LPC)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LM
Last Name:PLEMONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 TIMBER RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:OK
Mailing Address - Zip Code:73065-5709
Mailing Address - Country:US
Mailing Address - Phone:405-387-9707
Mailing Address - Fax:
Practice Address - Street 1:10320 S PENNSYLVANIA AVE
Practice Address - Street 2:STE 204
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6916
Practice Address - Country:US
Practice Address - Phone:405-691-1510
Practice Address - Fax:405-691-1510
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3237101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health