Provider Demographics
NPI:1871394551
Name:WINN, CYNTHIA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:WINN
Suffix:
Gender:
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16550 VENTURA BLVD
Mailing Address - Street 2:STE 203
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2041
Mailing Address - Country:US
Mailing Address - Phone:818-789-3346
Mailing Address - Fax:818-350-3911
Practice Address - Street 1:16550 VENTURA BLVD
Practice Address - Street 2:STE 203
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2041
Practice Address - Country:US
Practice Address - Phone:818-789-3346
Practice Address - Fax:818-350-3911
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-20
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30203106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist