Healthcare Provider Details

I. General information

NPI: 1316026008
Provider Name (Legal Business Name): CYNTHIA LYNN PIXTON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2006
Last Update Date: 06/09/2025
Certification Date: 06/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11412 EUNICE CT
WHITE MARSH MD
21162-3408
US

IV. Provider business mailing address

11412 EUNICE CT
WHITE MARSH MD
21162-3408
US

V. Phone/Fax

Practice location:
  • Phone: 443-867-0528
  • Fax:
Mailing address:
  • Phone: 434-867-0528
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number005194
License Number StateMD

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: