Provider Demographics
NPI:1639532807
Name:QUIVEY, CINDY (LMHC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:QUIVEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 COLONIAL CT
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IN
Mailing Address - Zip Code:46563-1860
Mailing Address - Country:US
Mailing Address - Phone:574-302-5048
Mailing Address - Fax:
Practice Address - Street 1:505 COLONIAL CT
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IN
Practice Address - Zip Code:46563-1860
Practice Address - Country:US
Practice Address - Phone:574-302-5048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2016-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39002850A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health