MEDICARE: SELENA RHYAN LINDAMOOD 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	101YM0800X	Mental Health Counselor	37PC01278600	NJ

General Provider Information

NPI Number	:	1609620400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELENA RHYAN LINDAMOOD LPC

Provider Business Mailing Address
First Line	:	2601 PENNINGTON RD
Second Line	:
City	:	PENNINGTON
State	:	NJ
Zip	:	08534-3208
Country	:	US
Telephone Number	:	609-947-4462
Fax Number	:

Provider Business Practice Location Address
First Line	:	3117 STATE ROUTE 10
Second Line	:
City	:	DENVILLE
State	:	NJ
Zip	:	07834-3625
Country	:	US
Telephone Number	:	973-525-2815
Fax Number	:	862-304-5659

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

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	06/15/2026

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