Alexandria Cimo, L.P.C
Individual provider Active NPI Professional Counselor · Lumberton, TX
NPI 1376909762 · NPPES record last updated Aug 11, 2021
Key facts
- NPI
- 1376909762
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 75260 (TX)
- Practice address
- 101 Canyon Lake Cir
Lumberton, TX 77657-3701 - Phone
- (409) 210-7210
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 5721 | LA | MD | Professional Counselor |
| 75260 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Path Counseling Group | Professional | Past | Accepting new patients |
| Newpath Group | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 5721 | LA | |
| Professional Counselor | 101YP2500X | 75260 | TX | Yes |
Addresses
Primary practice location
101 Canyon Lake Cir
Lumberton, TX 77657-3701
Mailing address
101 Canyon Lake Cir
Lumberton, TX 77657-3701
Phone (409) 210-7210
Other names
- Ally Cimo
Other providers in Lumberton, TX
- Regan Susanne Mougia Burkey
- Wesley Chase Burkhalter
- Brian Butler
- Stephanie C Bywater
- Care Center Lumberton, LTD
- Suzanne Cockrell
- David Cook
- Michael Cook
- Candace Monique Cooke
- Kimberly Craigen
All providers in Lumberton, TX · Professional 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 Aug 11, 2021. 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.