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General NPI Number Information
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NPI Number | 1104295401
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Entity Type | Organization
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Legal Business Name | LYNNS COUNSELING & CONSULTING SERVICES LLC
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 02/03/2016
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Provider Practice Location Address
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Address Line | 212 W JACKSON ST SUITE A
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City | DUBLIN
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State | GA
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Zip | 31021-6100
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Country | US
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Telephone | 478-304-5233
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Fax |
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Provider Business Mailing Address
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Address Line | 212 W JACKSON ST SUITE A
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City | DUBLIN
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State | GA
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Zip | 31021-6100
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Country | US
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Telephone | 478-304-5233
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | CHERYL LYNN
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Credential | LCSW
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Telephone | 478-290-0560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | CSW004684
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License Number State | GA
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