Provider Demographics
NPI:1457606501
Name:OLIVER, CINDY PARKER (NCC, LPC, RPT)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:PARKER
Last Name:OLIVER
Suffix:
Gender:F
Credentials:NCC, LPC, RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 HUNTING VALLEY TRL
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-6092
Mailing Address - Country:US
Mailing Address - Phone:494-314-3314
Mailing Address - Fax:
Practice Address - Street 1:109 HUNTING VALLEY TRL
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-6092
Practice Address - Country:US
Practice Address - Phone:494-314-3314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2012-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional