Healthcare Provider Details

I. General information

NPI: 1932594074
Provider Name (Legal Business Name): CYNTHIA MLINAR LPC-CR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 02/27/2024
Certification Date: 02/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 W RUSSELL RD
SIDNEY OH
45365-7025
US

IV. Provider business mailing address

1553 WESTWOOD DR
SIDNEY OH
45365-8996
US

V. Phone/Fax

Practice location:
  • Phone: 727-205-2077
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberC. 0002097
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: