Provider Demographics
NPI:1104295401
Name:LYNNS COUNSELING & CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:LYNNS COUNSELING & CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:478-290-0560
Mailing Address - Street 1:212 W JACKSON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-6100
Mailing Address - Country:US
Mailing Address - Phone:478-304-5233
Mailing Address - Fax:
Practice Address - Street 1:212 W JACKSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-6100
Practice Address - Country:US
Practice Address - Phone:478-304-5233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0046841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty