Provider Demographics
NPI:1225705379
Name:ZYSKOWSKI, LYNN ZOLKOSKY (MS, CRC, NCC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:ZOLKOSKY
Last Name:ZYSKOWSKI
Suffix:
Gender:F
Credentials:MS, CRC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:570 GLENWOOD PL SE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30316-1861
Mailing Address - Country:US
Mailing Address - Phone:678-643-6886
Mailing Address - Fax:
Practice Address - Street 1:3700 MARTIN LUTHER KING JR DR SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-3674
Practice Address - Country:US
Practice Address - Phone:404-612-9339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor