Healthcare Provider Details

I. General information

NPI: 1295882447
Provider Name (Legal Business Name): LYNN ESKO LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 TURNBULL AVE #204
ALTAMONTE SPRINGS FL
32701-6476
US

IV. Provider business mailing address

910 LOTUS VISTA DR #201
ALTAMONTE SPRINGS FL
32714-4819
US

V. Phone/Fax

Practice location:
  • Phone: 407-788-8813
  • Fax:
Mailing address:
  • Phone: 407-299-3189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 2515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: