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1912401068 NPI number — LISA MARIE LYNN LMHC

NPI Number: 1912401068
Health Care Provider/Practitioner: LISA MARIE LYNN LMHC

Information about “1912401068” NPI (LISA MARIE LYNN LMHC) exists in 1912401068 in HTML format HTML  |  1912401068 in plain Text format TXT  |  1912401068 in PDF (Portable Document Format) PDF  |  1912401068 in an XML format XML  formats.

NPI Number : 1912401068 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1912401068",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LYNN",
    "FirstName": "LISA",
    "MiddleName": "MARIE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "JACQUES-QUINTANA",
    "OtherFirstName": "LISA",
    "OtherMiddleName": "MARIE",
    "OtherNamePrefix": "MRS.",
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "9 NEEDLES DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OCALA",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "34482-3506",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "352-454-8950",
    "MailingAddressFaxNumber": "352-873-0035",
    "FirstLinePracticeLocationAddress": "3425 SW 74TH AVE STE C2",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OCALA",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "34474-7214",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "352-454-8950",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/22/2018",
    "LastUpdateDate": "07/28/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "MH12252",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH12252",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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