MEDICARE: PAULA JO LYNCH, LPC, ATR COUNSELING AND LIFE COACHING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1528894847
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAULA JO LYNCH, LPC, ATR COUNSELING AND LIFE COACHING

Provider Business Mailing Address
First Line	:	127 JEFFERSON ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-1108
Country	:	US
Telephone Number	:	814-795-6027
Fax Number	:

Provider Business Practice Location Address
First Line	:	127 JEFFERSON ST
Second Line	:
City	:	MEADVILLE
State	:	PA
Zip	:	16335-1108
Country	:	US
Telephone Number	:	814-795-6027
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	PAULA JO LYNCH
Credential	:	LPC,ATR
Telephone Number	:	814-795-6027

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	09/12/2024

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