Healthcare Provider Details

I. General information

NPI: 1225548118
Provider Name (Legal Business Name): CYNTHIA MENARD CLINTON MS, CCTP, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2017
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3101 SW 34TH AVE STE 905-343
OCALA FL
34474-7447
US

IV. Provider business mailing address

3101 SW 34TH AVE STE 905-343
OCALA FL
34474-7447
US

V. Phone/Fax

Practice location:
  • Phone: 484-250-4794
  • Fax:
Mailing address:
  • Phone: 484-250-4794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH21859
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: