Healthcare Provider Details

I. General information

NPI: 1033060785
Provider Name (Legal Business Name): DEBRA COOPER LYNCH RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 MAITLAND AVE # 16
ALTAMONTE SPRINGS FL
32701-5444
US

IV. Provider business mailing address

465 MAITLAND AVE # 16
ALTAMONTE SPRINGS FL
32701-5444
US

V. Phone/Fax

Practice location:
  • Phone: 321-616-7225
  • Fax: 407-598-7797
Mailing address:
  • Phone: 321-616-7225
  • Fax: 407-598-7797

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number28251
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: