Provider Demographics
NPI:1487762134
Name:BECK, LYNN KELLY (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:KELLY
Last Name:BECK
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 MAR WALT DR STE 2022
Mailing Address - Street 2:
Mailing Address - City:FORT WALTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32547-6631
Mailing Address - Country:US
Mailing Address - Phone:850-243-0095
Mailing Address - Fax:850-374-3192
Practice Address - Street 1:907 MARIOTT DR.
Practice Address - Street 2:SUITE 2022
Practice Address - City:FORT WALTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:32547
Practice Address - Country:US
Practice Address - Phone:850-243-0095
Practice Address - Fax:850-374-3192
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2025-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health