Healthcare Provider Details

I. General information

NPI: 1992963797
Provider Name (Legal Business Name): CYNTHIA ARNOLD LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2008
Last Update Date: 05/25/2023
Certification Date: 05/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

648 MORGAN COUNTRY RD
ASHEBORO NC
27203-8342
US

IV. Provider business mailing address

1430 SUNSET AVE
ASHEBORO NC
27205-5154
US

V. Phone/Fax

Practice location:
  • Phone: 336-525-6265
  • Fax: 336-579-0323
Mailing address:
  • Phone: 336-525-6265
  • Fax: 336-579-0323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number11310
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC005678
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: