Provider Demographics
NPI:1952398745
Name:PALMAZ, CYNTHIA PLEDGER (LPC, LMFT, LSATP)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:PLEDGER
Last Name:PALMAZ
Suffix:
Gender:F
Credentials:LPC, LMFT, LSATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 W MAIN ST UNIT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-4894
Mailing Address - Country:US
Mailing Address - Phone:757-810-5523
Mailing Address - Fax:
Practice Address - Street 1:5000 NEW POINT RD STE 3202
Practice Address - Street 2:
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-9423
Practice Address - Country:US
Practice Address - Phone:757-810-5523
Practice Address - Fax:757-903-2293
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-05
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0718000138101YA0400X
NC16230101YM0800X
VA0717000982106H00000X
VA0701002979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist