Provider Demographics
NPI:1912583014
Name:LANHAM, CINDY (LPC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:LANHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3919 OLD LEE HWY STE 83B
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-2430
Mailing Address - Country:US
Mailing Address - Phone:703-609-8117
Mailing Address - Fax:
Practice Address - Street 1:6883 TIFTON CT
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20112-3889
Practice Address - Country:US
Practice Address - Phone:703-609-8117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-20
Last Update Date:2021-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701010157101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional