Healthcare Provider Details

I. General information

NPI: 1043439250
Provider Name (Legal Business Name): CINDY CHRISTINE SCHOELL PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1276 MCCONNELL DR STE B
DECATUR GA
30033-3533
US

IV. Provider business mailing address

2224 CHRYSLER TER NE
ATLANTA GA
30345-3808
US

V. Phone/Fax

Practice location:
  • Phone: 678-283-5961
  • Fax: 866-422-1501
Mailing address:
  • Phone: 678-283-5961
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY003016
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: