Provider Demographics
NPI:1154933778
Name:HERAMIS, LYNN CARMEL (LMHCA)
Entity type:Individual
Prefix:
First Name:LYNN
Middle Name:CARMEL
Last Name:HERAMIS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6523 CALIFORNIA AVE SW # 388
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1833
Mailing Address - Country:US
Mailing Address - Phone:206-209-6407
Mailing Address - Fax:
Practice Address - Street 1:4815 FAUNTLEROY WAY SW APT 21
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-4578
Practice Address - Country:US
Practice Address - Phone:206-280-9085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60832190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health