Provider Demographics
NPI:1447137815
Name:FERNANDEZ, CINDY (LAPC)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:FERNANDEZ
Suffix:
Gender:F
Credentials:LAPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1034 WILTSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-4636
Mailing Address - Country:US
Mailing Address - Phone:470-531-4705
Mailing Address - Fax:
Practice Address - Street 1:1034 WILTSHIRE WAY
Practice Address - Street 2:
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-4636
Practice Address - Country:US
Practice Address - Phone:470-531-4705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC010445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health