Provider Demographics
NPI:1972873511
Name:KINDYL, CORRIE LEA (PHD, LMHC, LMFT, NCC)
Entity type:Individual
Prefix:DR
First Name:CORRIE
Middle Name:LEA
Last Name:KINDYL
Suffix:
Gender:F
Credentials:PHD, LMHC, LMFT, NCC
Other - Prefix:DR
Other - First Name:CORRIE
Other - Middle Name:LEA
Other - Last Name:HUNGERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:PO BOX 161585
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32716-1585
Mailing Address - Country:US
Mailing Address - Phone:407-947-2901
Mailing Address - Fax:407-770-5503
Practice Address - Street 1:1148 JUNIPER CREEK CT
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-1820
Practice Address - Country:US
Practice Address - Phone:407-947-2901
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-12
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT1957106H00000X
FLMH5580101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist