Provider Demographics
NPI:1720204993
Name:GASKIN, CINDI MARIE (RMHCI)
Entity Type:Individual
Prefix:
First Name:CINDI
Middle Name:MARIE
Last Name:GASKIN
Suffix:
Gender:F
Credentials:RMHCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:635 IRIS LN
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32963-1859
Mailing Address - Country:US
Mailing Address - Phone:772-492-0562
Mailing Address - Fax:772-492-7158
Practice Address - Street 1:HIBISCUS CHILDRENS CENTER
Practice Address - Street 2:1145 12TH STREE
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32960
Practice Address - Country:US
Practice Address - Phone:772-299-7293
Practice Address - Fax:772-299-6012
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH-4473101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health