Basic Information
Provider Information
NPI: 1093140071
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOYLE
FirstName: CYNTHIA
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: LCSW, LCAS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MOORE
OtherFirstName: CYNDI
OtherMiddleName: MARIE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: PO BOX 2187
Address2:  
City: SYLVA
State: NC
PostalCode: 287792187
CountryCode: US
TelephoneNumber: 8286313973
FaxNumber: 8286319280
Practice Location
Address1: 44 BONNIE LN
Address2:  
City: SYLVA
State: NC
PostalCode: 28779
CountryCode: US
TelephoneNumber: 8286313973
FaxNumber: 8286319280
Other Information
ProviderEnumerationDate: 09/09/2013
LastUpdateDate: 10/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YA0400XLCAS-3006NCN Behavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
104100000XC009373NCN Behavioral Health & Social Service ProvidersSocial Worker 
1041C0700XC009373NCY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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