Provider Demographics
NPI:1912219262
Name:CARTER, CYNTHIA R (MS)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:R
Last Name:CARTER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16602 BRISTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-7222
Mailing Address - Country:US
Mailing Address - Phone:713-560-4398
Mailing Address - Fax:281-274-9353
Practice Address - Street 1:14525 FM 529 RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3595
Practice Address - Country:US
Practice Address - Phone:281-746-3406
Practice Address - Fax:281-274-9353
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66621101YP2500X
TX201571106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional