Cynthia Ann Clegg | Fort Pierce, FL • PECOS Search

Cynthia Ann Clegg

Counselor

Behavioral Health & Social Service Providers

2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110

PECOS Enrollment

Based on the most recent information from CMS, provider Cynthia Ann Clegg does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1972714681
Provider Type
Individual
Full Name
Clegg, Cynthia Ann
Title
Ms.
Credential
MA,,LMHC

Gender
Female
Sole Proprietor
No
Enumeration Date
5/24/2007
Last Updated
7/8/2007

Contact Information

Practice Location

2814 S Us Highway 1 Ste D4, Fort Pierce, FL 34982-8110

(772) 489-0423

Mailing Location

9836 Perfect Dr, Port St Lucie, FL 34986-3031

(772) 489-0423

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH 5442 Florida