Healthcare Provider Details

I. General information

NPI: 1114344314
Provider Name (Legal Business Name): CYNTHIA ANDERS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2014
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 BUSINESS HIGHWAY 61 N
BOWLING GREEN MO
63334-1301
US

IV. Provider business mailing address

316 W CENTENNIAL AVE
BOWLING GREEN MO
63334-1518
US

V. Phone/Fax

Practice location:
  • Phone: 573-213-5105
  • Fax: 573-661-2141
Mailing address:
  • Phone: 573-213-5105
  • Fax: 573-661-2141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2014008411
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2014008411
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: