Healthcare Provider Details

I. General information

NPI: 1871679258
Provider Name (Legal Business Name): LYNN A. MORIN M.S., L.P.C., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2006
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5664 SW 60TH AVE
OCALA FL
34474-5677
US

IV. Provider business mailing address

11980 SW 147TH PL
DUNNELLON FL
34432-6643
US

V. Phone/Fax

Practice location:
  • Phone: 352-291-5555
  • Fax:
Mailing address:
  • Phone: 203-859-0899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number001240
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPMH 1363
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: