Provider Demographics
NPI:1649653569
Name:LEDEE, CYNTHIA FLORES
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:FLORES
Last Name:LEDEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1368 N ZARAGOZA RD STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-8030
Mailing Address - Country:US
Mailing Address - Phone:915-307-6721
Mailing Address - Fax:915-581-7980
Practice Address - Street 1:1368 N ZARAGOZA RD STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936-8030
Practice Address - Country:US
Practice Address - Phone:915-307-6721
Practice Address - Fax:915-581-7980
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71785101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional