Healthcare Provider Details

I. General information

NPI: 1295601607
Provider Name (Legal Business Name): LYNN VIRGINUS HAKIN III LPC, NCC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2025
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 WOODLAND DR
LOCK HAVEN PA
17745-9673
US

IV. Provider business mailing address

16 WOODLAND DR
LOCK HAVEN PA
17745-9673
US

V. Phone/Fax

Practice location:
  • Phone: 570-295-4685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC020976
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: