Provider Demographics
NPI:1316057383
Name:BJORGO, LYN (LPC, PHD)
Entity type:Individual
Prefix:
First Name:LYN
Middle Name:
Last Name:BJORGO
Suffix:
Gender:F
Credentials:LPC, PHD
Other - Prefix:
Other - First Name:LYN
Other - Middle Name:
Other - Last Name:LESOVSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, PHD
Mailing Address - Street 1:1610 5TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79401-2622
Mailing Address - Country:US
Mailing Address - Phone:806-765-2611
Mailing Address - Fax:806-687-5826
Practice Address - Street 1:1610 5TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79401-2622
Practice Address - Country:US
Practice Address - Phone:806-765-2611
Practice Address - Fax:806-765-2630
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19190101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX171993201Medicaid
TX7071LCOtherBCBS