Provider Demographics
NPI:1336172063
Name:CYNTHIA MYERS-RUBIN COUNSELING INC.
Entity Type:Organization
Organization Name:CYNTHIA MYERS-RUBIN COUNSELING INC.
Other - Org Name:CYNTHIA MYERS-RUBIN LCSW.
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CYNHTIA
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MYERS-RUBIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW MSW
Authorized Official - Phone:561-361-7287
Mailing Address - Street 1:20283 STATE ROAD 7
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33498-6901
Mailing Address - Country:US
Mailing Address - Phone:561-361-7287
Mailing Address - Fax:561-477-6895
Practice Address - Street 1:20283 STATE ROAD 7
Practice Address - Street 2:SUITE 300
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33498-6901
Practice Address - Country:US
Practice Address - Phone:561-361-7287
Practice Address - Fax:561-477-6895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW76391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1134178247OtherINDIVIDUAL NPI
FLK6684Medicare ID - Type UnspecifiedPART B LCSW.
FLK6684AMedicare PIN