Healthcare Provider Details

I. General information

NPI: 1154376796
Provider Name (Legal Business Name): CINDY P. EARL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 MINERAL WAY DR
POTTSBORO TX
75076-3569
US

IV. Provider business mailing address

22 MINERAL WAY DR
POTTSBORO TX
75076-3569
US

V. Phone/Fax

Practice location:
  • Phone: 903-271-6781
  • Fax:
Mailing address:
  • Phone: 808-354-2400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number3832
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number8778-C
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number5821
License Number StateOK
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number63552
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: