Provider Demographics
NPI:1811767502
Name:CYNDY BRISSENDEN LLC
Entity type:Organization
Organization Name:CYNDY BRISSENDEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CYNDY
Authorized Official - Middle Name:T
Authorized Official - Last Name:BRISSENDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:727-288-1003
Mailing Address - Street 1:9443 LAURA ANNE DR
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33776-1619
Mailing Address - Country:US
Mailing Address - Phone:727-288-1003
Mailing Address - Fax:
Practice Address - Street 1:9443 LAURA ANNE DR
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33776-1619
Practice Address - Country:US
Practice Address - Phone:727-288-1003
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty