Provider Demographics
NPI:1811549371
Name:ORTIZ, CINDY-JOY (MS, EDS)
Entity type:Individual
Prefix:
First Name:CINDY-JOY
Middle Name:
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MS, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13505 CITICARDS WAY
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32258-6530
Mailing Address - Country:US
Mailing Address - Phone:904-250-0883
Mailing Address - Fax:
Practice Address - Street 1:13505 CITICARDS WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32258-6530
Practice Address - Country:US
Practice Address - Phone:904-250-0883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH24264101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health