Provider Demographics
NPI:1467797894
Name:LYNN, JOE M JR (PHD, LMHC)
Entity Type:Individual
Prefix:DR
First Name:JOE
Middle Name:M
Last Name:LYNN
Suffix:JR
Gender:M
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12555 BISCAYNE BLVD # 434
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33181-2522
Mailing Address - Country:US
Mailing Address - Phone:305-928-1597
Mailing Address - Fax:
Practice Address - Street 1:1250 SW 27TH AVE STE 404
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-4750
Practice Address - Country:US
Practice Address - Phone:305-642-5255
Practice Address - Fax:305-642-8890
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-12
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL283717101YP2500X
FLMH 7243101YM0800X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional