Provider Demographics
NPI:1720264716
Name:BRISSENDEN, CYNDY (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:CYNDY
Middle Name:
Last Name:BRISSENDEN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:CYNTHIA
Other - Middle Name:THOMPSON
Other - Last Name:BRISSENDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LNHC
Mailing Address - Street 1:7130 SEMINOLE BLVD
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33772-5935
Mailing Address - Country:US
Mailing Address - Phone:727-288-1003
Mailing Address - Fax:727-800-6137
Practice Address - Street 1:7130 SEMINOLE BLVD
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33772
Practice Address - Country:US
Practice Address - Phone:727-430-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7682101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health