Provider Demographics
NPI:1235947722
Name:HARROLD, CYNTHIA LEONA (QBHS)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LEONA
Last Name:HARROLD
Suffix:
Gender:F
Credentials:QBHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2177 MOCK RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-1258
Mailing Address - Country:US
Mailing Address - Phone:567-312-5700
Mailing Address - Fax:
Practice Address - Street 1:2177 MOCK RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-1258
Practice Address - Country:US
Practice Address - Phone:567-312-5700
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
OH171M00000X171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator