Provider Demographics
NPI:1124477740
Name:BROTHERS, IRISH LYNN (LMHC)
Entity type:Individual
Prefix:
First Name:IRISH
Middle Name:LYNN
Last Name:BROTHERS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:IRISH
Other - Middle Name:LYNN
Other - Last Name:WERNET-PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:1419 UNION RD
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-2936
Mailing Address - Country:US
Mailing Address - Phone:716-541-5451
Mailing Address - Fax:
Practice Address - Street 1:1419 UNION RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-2936
Practice Address - Country:US
Practice Address - Phone:716-541-5451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-04
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009648-01101YM0800X
NY009648101YM0800X
101YM0800X
NYP01707101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health