Provider Demographics
NPI:1922594829
Name:LOFTON, CINDI Q (M ED, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:CINDI
Middle Name:Q
Last Name:LOFTON
Suffix:
Gender:F
Credentials:M ED, LPC, NCC
Other - Prefix:MS
Other - First Name:CINDI
Other - Middle Name:Q
Other - Last Name:LOFTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M ED, LPC, NCC
Mailing Address - Street 1:602 E PEELER RD
Mailing Address - Street 2:
Mailing Address - City:SHAW
Mailing Address - State:MS
Mailing Address - Zip Code:38773-9640
Mailing Address - Country:US
Mailing Address - Phone:662-402-2872
Mailing Address - Fax:
Practice Address - Street 1:250 S SHELBY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38701-4033
Practice Address - Country:US
Practice Address - Phone:662-332-1819
Practice Address - Fax:662-332-1819
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-03
Last Update Date:2018-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1978101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor