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NPI Code Detail

MEDICARE: MS. LYNN D'ANTONI LMSW, LCDC

MEDICARE:  MS. LYNN  D'ANTONI  LMSW, LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor9771TX
2104100000XSocial Worker51069TX

General Provider Information

NPI Number : 1265665442
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNN D'ANTONI LMSW, LCDC
Provider Business Mailing Address
First Line : 4803 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77056-3907
Country : US
Telephone Number : 713-626-7990
Fax Number : 713-627-7715
Provider Business Practice Location Address
First Line : 4803 SAN FELIPE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77056-3907
Country : US
Telephone Number : 713-626-7990
Fax Number : 713-627-7715
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 09/03/2009

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Directions to “ MS. LYNN D'ANTONI LMSW, LCDC” Practice Location

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