Provider Demographics
NPI:1386715746
Name:OLIPHANT, CINDY TATE (LPC)
Entity type:Individual
Prefix:MRS
First Name:CINDY
Middle Name:TATE
Last Name:OLIPHANT
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 LEXINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ROCKWALL
Mailing Address - State:TX
Mailing Address - Zip Code:75087-5378
Mailing Address - Country:US
Mailing Address - Phone:214-505-8908
Mailing Address - Fax:972-772-8436
Practice Address - Street 1:2310 RIDGE RD
Practice Address - Street 2:SUITE A
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75087-5139
Practice Address - Country:US
Practice Address - Phone:214-505-8908
Practice Address - Fax:972-772-8436
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX18105101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional