MEDICARE: MS. CYNTHIA ANN LEBLANC MFT

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	106H00000X	Marriage & Family Therapist	0001198	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427306992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CYNTHIA ANN LEBLANC MFT

Provider Business Mailing Address
First Line	:	1765 RIMWOOD DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-7874
Country	:	US
Telephone Number	:	719-331-6653
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 N CIRCLE DR STE 400
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-1184
Country	:	US
Telephone Number	:	719-331-6653
Fax Number	:	719-623-0458

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

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	01/17/2024

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