Provider Demographics
NPI:1568534451
Name:PHILLIPS, LYNN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 LAWRENCE STREET NE
Mailing Address - Street 2:ANCHOR MENTAL HEALTH ASSOCIATION
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-0058
Mailing Address - Country:US
Mailing Address - Phone:202-635-5908
Mailing Address - Fax:202-635-5915
Practice Address - Street 1:1001 LAWRENCE STREET NE
Practice Address - Street 2:ANCHOR MENTAL HEALTH ASSOCIATION
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-0058
Practice Address - Country:US
Practice Address - Phone:202-635-5908
Practice Address - Fax:202-635-5915
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC913101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional