Provider Demographics
NPI:1235893967
Name:HERRING, LYNETTE BOX (LPC A)
Entity Type:Individual
Prefix:
First Name:LYNETTE
Middle Name:BOX
Last Name:HERRING
Suffix:
Gender:F
Credentials:LPC A
Other - Prefix:
Other - First Name:LYNETTE
Other - Middle Name:ANN
Other - Last Name:HERRING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC A
Mailing Address - Street 1:301 W PANTHER WAY
Mailing Address - Street 2:UNIT 1002
Mailing Address - City:HEWITT
Mailing Address - State:TX
Mailing Address - Zip Code:76643
Mailing Address - Country:US
Mailing Address - Phone:806-433-0075
Mailing Address - Fax:
Practice Address - Street 1:185 EASTGATE PLZ
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76705-2868
Practice Address - Country:US
Practice Address - Phone:254-412-2667
Practice Address - Fax:254-799-5768
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional