Provider Demographics
NPI:1710138151
Name:BARG, CINDY E (LMHC, MED)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:E
Last Name:BARG
Suffix:
Gender:F
Credentials:LMHC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 HOPE ST
Mailing Address - Street 2:ALA
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2532
Mailing Address - Country:US
Mailing Address - Phone:401-043-2716
Mailing Address - Fax:401-276-4015
Practice Address - Street 1:520 HOPE ST
Practice Address - Street 2:ALA
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2532
Practice Address - Country:US
Practice Address - Phone:401-043-2716
Practice Address - Fax:401-276-4015
Is Sole Proprietor?:No
Enumeration Date:2008-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0006041101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor