Provider Demographics
NPI:1194250720
Name:DRAPER, LYNNIKKA (LMHC)
Entity type:Individual
Prefix:
First Name:LYNNIKKA
Middle Name:
Last Name:DRAPER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1436 BEACH AVE
Mailing Address - Street 2:APT 5
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-3607
Mailing Address - Country:US
Mailing Address - Phone:720-724-5288
Mailing Address - Fax:
Practice Address - Street 1:41 E 11TH ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4602
Practice Address - Country:US
Practice Address - Phone:720-724-5288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-20
Last Update Date:2017-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007897101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health