MEDICARE: LYNN WEBB BECK L.P.C.

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	101YP2500X	Professional Counselor	3594	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649381591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNN WEBB BECK L.P.C.

Provider Business Mailing Address
First Line	:	3100 HEATHSTEAD PL
Second Line	:	APT. H
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-7138
Country	:	US
Telephone Number	:	980-395-9310
Fax Number	:	980-321-7027

Provider Business Practice Location Address
First Line	:	5200 PARK RD
Second Line	:	SUITE 111
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3650
Country	:	US
Telephone Number	:	980-395-9310
Fax Number	:	980-321-7027

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	11/21/2011

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