Healthcare Provider Details

I. General information

NPI: 1346818275
Provider Name (Legal Business Name): KAREN LYNCH COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021
Certification Date: 06/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10161 PARK RUN DR STE 150
LAS VEGAS NV
89145-8872
US

IV. Provider business mailing address

10161 PARK RUN DR STE 150
LAS VEGAS NV
89145-8872
US

V. Phone/Fax

Practice location:
  • Phone: 707-430-8815
  • Fax: 702-566-4575
Mailing address:
  • Phone: 707-430-8815
  • Fax: 702-566-4575

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: KAREN LYNCH
Title or Position: OWNER
Credential: MFT
Phone: 707-430-8815