Provider Demographics
NPI:1215480918
Name:LYNKZ
Entity type:Organization
Organization Name:LYNKZ
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LAMONICA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:225-252-6839
Mailing Address - Street 1:4325 OAKLAND ROAD
Mailing Address - Street 2:
Mailing Address - City:ERWINVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70729
Mailing Address - Country:US
Mailing Address - Phone:225-252-6839
Mailing Address - Fax:225-369-5535
Practice Address - Street 1:4325 OAKLAND ROAD
Practice Address - Street 2:
Practice Address - City:ERWINVILLE
Practice Address - State:LA
Practice Address - Zip Code:70729
Practice Address - Country:US
Practice Address - Phone:225-252-6839
Practice Address - Fax:225-369-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1014733302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization