Cyndy Bourke, APRN/PMH
Individual provider Active NPI Mental Health Counselor · Centreville, MD
NPI 1477855658 · NPPES record last updated Nov 22, 2010
Key facts
- NPI
- 1477855658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MD#R175635 (MD)
- Practice address
- 114 W Water St Ste a
Centreville, MD 21617-1060 - Phone
- (410) 758-3008
- Fax
- (410) 758-3008
- NPI assigned
- Nov 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| MD#R175635 | MD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MD#R175635 | MD | Yes |
Addresses
Primary practice location
114 W Water St Ste a
Centreville, MD 21617-1060
Mailing address
114A West Water Street
Centreville, MD 21617
Phone (410) 758-3008
Other providers in Centreville, MD
- Misty Chentel Bever
- Nell Juliet Bodani
- Belinda Boeshore
- Elizabeth Bohaker
- Julia Michelle Boras
- Amanda Bramble
- Stewart Mark Bramson
- Bridges Behavioral Health & Wellness
- Bridges Behavioral, L.L.C.
- Bridging Wellness, LLC
All providers in Centreville, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2010. 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.