Healthcare Provider Details

I. General information

NPI: 1821043415
Provider Name (Legal Business Name): CINDY SMILEY-FREEMAN LPC-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CINDY SMILEY LPC-S

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 06/03/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 YORKSHIRE AVE
PASADENA TX
77503-1456
US

IV. Provider business mailing address

604 YORKSHIRE AVE
PASADENA TX
77503-1456
US

V. Phone/Fax

Practice location:
  • Phone: 281-678-9871
  • Fax: 281-476-6424
Mailing address:
  • Phone: 281-772-6285
  • Fax: 281-476-6424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12624
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12624
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: