Provider Demographics
NPI:1992160683
Name:CARDINES, GINA MARIE (MS, LPC, LMHC)
Entity type:Individual
Prefix:
First Name:GINA
Middle Name:MARIE
Last Name:CARDINES
Suffix:
Gender:F
Credentials:MS, LPC, LMHC
Other - Prefix:
Other - First Name:GINA
Other - Middle Name:MARIE
Other - Last Name:DAMRON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4100 ELDORADO PKWY STE 100-413
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6102
Mailing Address - Country:US
Mailing Address - Phone:469-294-9075
Mailing Address - Fax:469-294-9075
Practice Address - Street 1:7951 COLLIN MCKINNEY PKWY STE 200
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7843
Practice Address - Country:US
Practice Address - Phone:469-294-9075
Practice Address - Fax:469-294-9175
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-22
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13862101YM0800X
TX80686101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX407240703Medicaid