Provider Demographics
NPI:1649290032
Name:FALOR, CINDY (LMHC,CAP)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:FALOR
Suffix:
Gender:F
Credentials:LMHC,CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3810-3 WILLIAMSBURG PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-9220
Mailing Address - Country:US
Mailing Address - Phone:904-419-6102
Mailing Address - Fax:904-739-2153
Practice Address - Street 1:3810-3 WILLIAMSBURG PARK BLVD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-9220
Practice Address - Country:US
Practice Address - Phone:904-419-6102
Practice Address - Fax:904-739-2153
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2361101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ4174OtherBC/BS
FL4207131OtherAETNA