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NPI Code Detail

MEDICARE: LYNN A MCCORMICK

MEDICARE: LYNN A MCCORMICK
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
1101YP2500XProfessional Counselor70978TX
2101YA0400XAddiction (Substance Use Disorder) Counselor70978TX
3101YM0800XMental Health Counselor70978TX

General Provider Information

NPI Number : 1861850562
Entity Type Code : Individual
Provider Name (Legal Business Name) : LYNN A MCCORMICK
Provider Business Mailing Address
First Line : 9701 ABBEVILLE AVE
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-4465
Country : US
Telephone Number : 806-782-6727
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 748465
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8465
Country : US
Telephone Number : 855-284-7483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2016
Last Update Date : 09/18/2025

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Directions to “ LYNN A MCCORMICK ” Practice Location

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