Provider Demographics
NPI:1194061721
Name:SERNA, CINDY TREVINO (LPC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:TREVINO
Last Name:SERNA
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:CINDY
Other - Middle Name:MICHELE
Other - Last Name:TREVINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:613 ELIZABETH ST
Mailing Address - Street 2:SUITE 805
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78404-2220
Mailing Address - Country:US
Mailing Address - Phone:361-537-6747
Mailing Address - Fax:361-882-3920
Practice Address - Street 1:613 ELIZABETH ST
Practice Address - Street 2:SUITE 805
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78404-2220
Practice Address - Country:US
Practice Address - Phone:361-537-6747
Practice Address - Fax:361-882-3920
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-31
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61169101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX61169OtherLPC