MEDICARE: MS. CYNTHIA MARIE RAGSDALE L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	39001532A	IN

General Provider Information

NPI Number	:	1235282914
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA MARIE RAGSDALE L.M.H.C.

Provider Business Mailing Address
First Line	:	931 E 86TH ST
Second Line	:	STE. 101
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1860
Country	:	US
Telephone Number	:	317-466-1516
Fax Number	:	317-466-1516

Provider Business Practice Location Address
First Line	:	931 E 86TH ST
Second Line	:	STE. 101
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46240-1860
Country	:	US
Telephone Number	:	317-466-1516
Fax Number	:	317-466-1516

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	09/25/2008

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