Provider Demographics
NPI:1669753638
Name:KALEITA, CYNTHIA ANN (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:ANN
Last Name:KALEITA
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:A
Other - Last Name:KALEITA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC, LLC
Mailing Address - Street 1:215 N EOLA DR
Mailing Address - Street 2:C/O GARY M. KALEITA, ESQUIRE, LDDK&R, P.A.
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2028
Mailing Address - Country:US
Mailing Address - Phone:407-843-4600
Mailing Address - Fax:407-843-4444
Practice Address - Street 1:195 WEKIVA SPRINGS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6199
Practice Address - Country:US
Practice Address - Phone:407-342-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH8164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health