Provider Demographics
NPI:1215661749
Name:CYMBAL COUNSELING PLLC
Entity type:Organization
Organization Name:CYMBAL COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CYMBAL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:406-871-3904
Mailing Address - Street 1:331 BLUE SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-6830
Mailing Address - Country:US
Mailing Address - Phone:406-871-3904
Mailing Address - Fax:
Practice Address - Street 1:331 BLUE SPRUCE LN
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-6830
Practice Address - Country:US
Practice Address - Phone:406-871-3904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty