Provider Demographics
NPI:1528459286
Name:CYNTHIA R. CARTER, M.S., LPC,LMFT
Entity type:Organization
Organization Name:CYNTHIA R. CARTER, M.S., LPC,LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LMFT
Authorized Official - Phone:281-746-3406
Mailing Address - Street 1:14525 FM 529 RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-3595
Mailing Address - Country:US
Mailing Address - Phone:281-746-3406
Mailing Address - Fax:281-274-9353
Practice Address - Street 1:14525 FM 529 RD
Practice Address - Street 2:SUITE 200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-3595
Practice Address - Country:US
Practice Address - Phone:281-746-3406
Practice Address - Fax:281-274-9353
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-16
Last Update Date:2015-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201571251S00000X
TX66621251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2889776-03Medicaid