Healthcare Provider Details

I. General information

NPI: 1598337701
Provider Name (Legal Business Name): LYNDEN M GELLNER LMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2021
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21727 76TH AVE W STE C
EDMONDS WA
98026-7549
US

IV. Provider business mailing address

15109 45TH PL W
LYNNWOOD WA
98087-2249
US

V. Phone/Fax

Practice location:
  • Phone: 206-677-8167
  • Fax:
Mailing address:
  • Phone: 425-344-5040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61380307
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: