Provider Demographics
NPI:1588861652
Name:SPINNEY, LYNNE MARIE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:MARIE
Last Name:SPINNEY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1519 DR MARTIN LUTHER KING JR ST N
Mailing Address - Street 2:SUITE B
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-4201
Mailing Address - Country:US
Mailing Address - Phone:727-827-5096
Mailing Address - Fax:
Practice Address - Street 1:1519 DR MARTIN LUTHER KING JR ST N
Practice Address - Street 2:SUITE B
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-4201
Practice Address - Country:US
Practice Address - Phone:727-827-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH4186101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health