Healthcare Provider Details

I. General information

NPI: 1891021325
Provider Name (Legal Business Name): CYNTHIA MCLAUGHLIN LADC, LMHC, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS CYNTHIA NATHANS

II. Dates (important events)

Enumeration Date: 10/17/2009
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 BEDFORD RD SUITE 11
KATONAH NY
10536-2135
US

IV. Provider business mailing address

51 BEDFORD RD SUITE 11
KATONAH NY
10536-2135
US

V. Phone/Fax

Practice location:
  • Phone: 845-260-2908
  • Fax:
Mailing address:
  • Phone: 845-260-2908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number000741
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number6450
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number003931
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number000741
License Number StateCT
# 5
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number003931
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: