Provider Demographics
NPI:1780869537
Name:BARTON, CYNTHIA S (LPC)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:S
Last Name:BARTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30100 FM 1488 RD
Mailing Address - Street 2:
Mailing Address - City:WALLER
Mailing Address - State:TX
Mailing Address - Zip Code:77484-6002
Mailing Address - Country:US
Mailing Address - Phone:281-221-6134
Mailing Address - Fax:
Practice Address - Street 1:30100 FM 1488 RD
Practice Address - Street 2:
Practice Address - City:WALLER
Practice Address - State:TX
Practice Address - Zip Code:77484-6002
Practice Address - Country:US
Practice Address - Phone:281-221-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14564101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional