Provider Demographics
NPI:1740521178
Name:GOEHRING, CYNTHIA A (LPC-MH, NCC, QMHP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:A
Last Name:GOEHRING
Suffix:
Gender:F
Credentials:LPC-MH, NCC, QMHP
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:A
Other - Last Name:GOEHRING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-MH, NCC, QMHP
Mailing Address - Street 1:221 BROWN COUNTY HIGHWAY 19 S
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-5533
Mailing Address - Country:US
Mailing Address - Phone:605-725-5505
Mailing Address - Fax:605-725-1231
Practice Address - Street 1:221 BROWN COUNTY HIGHWAY 19 S
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-5533
Practice Address - Country:US
Practice Address - Phone:605-725-5505
Practice Address - Fax:605-725-1231
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-11
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SDLPCMH2258101YP2500X, 101YP2500X
SD2801104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker