Provider Demographics
NPI:1982412482
Name:BAUMGARTEN VELEN, CYNTHIA (LMHC, MCAP)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:BAUMGARTEN VELEN
Suffix:
Gender:F
Credentials:LMHC, MCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:390 NW 42ND ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4636
Mailing Address - Country:US
Mailing Address - Phone:954-822-6669
Mailing Address - Fax:
Practice Address - Street 1:390 NW 42ND ST
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-4636
Practice Address - Country:US
Practice Address - Phone:954-822-6669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health