1992160683 NPI number — GINA MARIE CARDINES MS, LPC, LMHC

Table of content: GINA MARIE CARDINES MS, LPC, LMHC (NPI 1992160683)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992160683 NPI number — GINA MARIE CARDINES MS, LPC, LMHC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARDINES
Provider First Name:
GINA
Provider Middle Name:
MARIE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, LPC, LMHC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DAMRON
Provider Other First Name:
GINA
Provider Other Middle Name:
MARIE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992160683
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4100 ELDORADO PKWY STE 100-413
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MCKINNEY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75070-6102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
469-294-9075
Provider Business Mailing Address Fax Number:
469-294-9075

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7951 COLLIN MCKINNEY PKWY STE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MCKINNEY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75070-7843
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-294-9075
Provider Business Practice Location Address Fax Number:
469-294-9175
Provider Enumeration Date:
12/22/2015

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:  13862 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X , with the licence number: 80686 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 407240703 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".