Provider Demographics
NPI:1821043415
Name:SMILEY-FREEMAN, CINDY (LPC-S)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:SMILEY-FREEMAN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:SMILEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-S
Mailing Address - Street 1:604 YORKSHIRE AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503-1456
Mailing Address - Country:US
Mailing Address - Phone:281-678-9871
Mailing Address - Fax:281-476-6424
Practice Address - Street 1:604 YORKSHIRE AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77503-1456
Practice Address - Country:US
Practice Address - Phone:281-678-9871
Practice Address - Fax:281-476-6424
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12624101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health