Provider Demographics
NPI:1205502366
Name:HYDE, CINDY LYN (MA MFT, LPC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:LYN
Last Name:HYDE
Suffix:
Gender:F
Credentials:MA MFT, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18727 TALL OAK DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75287-4049
Mailing Address - Country:US
Mailing Address - Phone:214-686-5929
Mailing Address - Fax:
Practice Address - Street 1:6600 LYNDON B JOHNSON FWY STE 240
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6550
Practice Address - Country:US
Practice Address - Phone:469-249-2972
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-19
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX83399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health