Provider Demographics
NPI:1548919202
Name:CYNTHIA ECKERT-MCCOY LSCSW, LLC
Entity type:Organization
Organization Name:CYNTHIA ECKERT-MCCOY LSCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ECKERT-MCCOY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW/LSCSW
Authorized Official - Phone:785-515-2464
Mailing Address - Street 1:122 N SANTA FE
Mailing Address - Street 2:STE A
Mailing Address - City:SALINA
Mailing Address - State:KS
Mailing Address - Zip Code:67401-2625
Mailing Address - Country:US
Mailing Address - Phone:785-515-2464
Mailing Address - Fax:785-515-2480
Practice Address - Street 1:122 N SANTA FE AVE
Practice Address - Street 2:STE A
Practice Address - City:SALINA
Practice Address - State:KS
Practice Address - Zip Code:67401-2625
Practice Address - Country:US
Practice Address - Phone:785-515-2464
Practice Address - Fax:785-515-2480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health