Provider Demographics
NPI:1811954670
Name:BAILEY, CINDY CAROL (LMHC, NCC, NBCCH)
Entity type:Individual
Prefix:MS
First Name:CINDY
Middle Name:CAROL
Last Name:BAILEY
Suffix:
Gender:F
Credentials:LMHC, NCC, NBCCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18311 BITTERN AVE
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33558-2736
Mailing Address - Country:US
Mailing Address - Phone:813-748-8719
Mailing Address - Fax:813-961-5919
Practice Address - Street 1:4913 VAN DYKE RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33558-4813
Practice Address - Country:US
Practice Address - Phone:813-748-8719
Practice Address - Fax:813-961-5919
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5697101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor