Provider Demographics
NPI:1942820717
Name:MCCARLEY, CINDY MARIE LESCALLETTE (LPC, NBCC)
Entity Type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:MARIE LESCALLETTE
Last Name:MCCARLEY
Suffix:
Gender:F
Credentials:LPC, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:295 WILLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39183-9288
Mailing Address - Country:US
Mailing Address - Phone:601-831-2536
Mailing Address - Fax:
Practice Address - Street 1:295 WILLOW CREEK DR
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-9288
Practice Address - Country:US
Practice Address - Phone:601-831-2536
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor