Bagley, Cyntina Jonae
Bagley, Cyntina Jonae is an individual health care provider with primary practice located at 214 Bush River Dr , Farmville VA 23901-3179. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bagley, Cyntina Jonae can be contacted via phone (434) 392-3187.Contact Information
Primary practice address
214 Bush River Dr
Farmville VA 23901-3179
Phone: (434) 392-3187
Fax: (434) 392-9221
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701004977 | Virginia |
Profile Details
| NPI number | 1902194418 |
|---|---|
| LBN Legal business name | Bagley, Cyntina Jonae |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2011 |
| Last updated | Feb 15th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902194418 | NPPES |
| Virginia | MEDICAID | 1528091063 |
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