MEDICARE: LYNKZ

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	251B00000X	Case Management Agency
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1649623141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LYNKZ

Provider Business Mailing Address
First Line	:	4325 OAKLAND ROAD
Second Line	:
City	:	ERWINVILLE
State	:	LA
Zip	:	70729
Country	:	US
Telephone Number	:	225-252-6839
Fax Number	:	225-369-5535

Provider Business Practice Location Address
First Line	:	4325 OAKLAND ROAD
Second Line	:
City	:	ERWINVILLE
State	:	LA
Zip	:	70729
Country	:	US
Telephone Number	:	225-252-6839
Fax Number	:	225-369-5535

Authorized Official
Title or Position	:	OWNER / LICENSE PROFESSIONAL
Name	:	LAMONICA RENEE BUTLER
Credential	:	MA, LPC
Telephone Number	:	225-252-6839

Provider Enumeration Date	:	07/20/2016
Last Update Date	:	07/20/2016

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Directions to “LYNKZ ” Practice Location

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