Cynthia Ann Bennett, LCDC-I
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bandera, TX
NPI 1023907441 · NPPES record last updated Jul 1, 2025
Key facts
- NPI
- 1023907441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 73220 (TX)
- Practice address
- 756 Purple Sage Rd
Bandera, TX 78003-3981 - Phone
- (866) 516-9540
- NPI assigned
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73220 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 73220 | TX | Yes |
Addresses
Primary practice location
756 Purple Sage Rd
Bandera, TX 78003-3981
Mailing address
756 Purple Sage Rd
Bandera, TX 78003-3981
Phone (866) 516-9540
Other providers in Bandera, TX
- Bandera Isd
- Bandera SCC LLC
- Bandera Speech Therapy LLC
- Deepa Basil
- Belinda Bego
- Dawn Zoe Blythe
- Mary Carla Bolan
- Jesse Allan Boutwell
- Boyles Bandera Pharmacy
- Andy Breitbarth
All providers in Bandera, TX · Addiction (Substance Use Disorder) Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.