MEDICARE: CYNTHIA C LENEHAN

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	101Y00000X	Counselor
2	101YP2500X	Professional Counselor	5316	SC

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	:	1619136116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CYNTHIA C LENEHAN

Provider Business Mailing Address
First Line	:	5153 POTOMAC ST
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-4133
Country	:	US
Telephone Number	:	843-557-4309
Fax Number	:

Provider Business Practice Location Address
First Line	:	4400A MARBLEHEAD LN
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-3221
Country	:	US
Telephone Number	:	843-557-4309
Fax Number	:

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

Provider Enumeration Date	:	06/09/2008
Last Update Date	:	01/07/2020

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Directions to “ CYNTHIA C LENEHAN ” Practice Location

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