Provider Demographics
NPI:1679788210
Name:CYNTHIA A. KALEITA, LMHC, LLC
Entity type:Organization
Organization Name:CYNTHIA A. KALEITA, LMHC, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:KALEITA
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:407-342-6288
Mailing Address - Street 1:215 N EOLA DR
Mailing Address - Street 2:C/O GARY M. KALEITA, ESQUIRE, LDDK&R, P.A.
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-2028
Mailing Address - Country:US
Mailing Address - Phone:407-418-6334
Mailing Address - Fax:407-843-4444
Practice Address - Street 1:195 WEKIVA SPRINGS RD
Practice Address - Street 2:SUITE 300(B)
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-6199
Practice Address - Country:US
Practice Address - Phone:407-342-6288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2011-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH#8164101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty