MEDICARE: LYNDSY ANN DUET LPC

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	68631	TX

General Provider Information

NPI Number	:	1689258998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYNDSY ANN DUET LPC

Provider Business Mailing Address
First Line	:	1530 P B LN # D4125
Second Line	:
City	:	WICHITA FALLS
State	:	TX
Zip	:	76302-2612
Country	:	US
Telephone Number	:	281-809-7326
Fax Number	:

Provider Business Practice Location Address
First Line	:	3922 ECHO MOUNTAIN DR
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77345-2047
Country	:	US
Telephone Number	:	281-809-7326
Fax Number	:

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

Provider Enumeration Date	:	05/12/2021
Last Update Date	:	05/12/2021

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Directions to “ LYNDSY ANN DUET LPC” Practice Location

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