MEDICARE: LYNSEY COALSON LPC ASSOCIATE

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	101Y00000X	Counselor	98427	TX

General Provider Information

NPI Number	:	1346184397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNSEY COALSON LPC ASSOCIATE

Provider Business Mailing Address
First Line	:	PO BOX 96
Second Line	:
City	:	BRONTE
State	:	TX
Zip	:	76933-0096
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3194 EXECUTIVE DR
Second Line	:
City	:	SAN ANGELO
State	:	TX
Zip	:	76904-6802
Country	:	US
Telephone Number	:	325-261-3552
Fax Number	:

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

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/19/2026

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