MEDICARE: LYNN LOUISE BURKE REYES LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LPC006381	GA
2	101YP2500X	Professional Counselor	8853	SC
3	101YA0400X	Addiction (Substance Use Disorder) Counselor	LPC006381	GA
4	101YA0400X	Addiction (Substance Use Disorder) Counselor	8853	SC

General Provider Information

NPI Number	:	1134460884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN LOUISE BURKE REYES LPC

Provider Business Mailing Address
First Line	:	1007 WEST AVE
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3312
Country	:	US
Telephone Number	:	706-503-8216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1007 WEST AVE
Second Line	:
City	:	NORTH AUGUSTA
State	:	SC
Zip	:	29841-3312
Country	:	US
Telephone Number	:	706-503-8216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2013
Last Update Date	:	03/12/2026

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