1669753638 NPI number — MRS. CYNTHIA ANN KALEITA M.A., LMHC

Table of content: MRS. CYNTHIA ANN KALEITA M.A., LMHC (NPI 1669753638)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669753638 NPI number — MRS. CYNTHIA ANN KALEITA M.A., LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KALEITA
Provider First Name:
CYNTHIA
Provider Middle Name:
ANN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
KALEITA
Provider Other First Name:
CYNTHIA
Provider Other Middle Name:
A.
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC, LLC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1669753638
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/06/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
215 N EOLA DR
Provider Second Line Business Mailing Address:
C/O GARY M. KALEITA, ESQUIRE, LDDK&R, P.A.
Provider Business Mailing Address City Name:
ORLANDO
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
32801-2028
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-843-4600
Provider Business Mailing Address Fax Number:
407-843-4444

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
195 WEKIVA SPRINGS RD
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
LONGWOOD
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32779-6199
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-342-6288
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/06/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  MH8164 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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