Healthcare Provider Details

I. General information

NPI: 1134005986
Provider Name (Legal Business Name): CINDY MARIELA CAMPOS FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 SANDY SPRING RD
LAUREL MD
20707-3596
US

IV. Provider business mailing address

8902 MANCHESTER RD APT 206
SILVER SPRING MD
20901-4158
US

V. Phone/Fax

Practice location:
  • Phone: 800-994-5403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: