Provider Demographics
NPI:1568722379
Name:LYNCH FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:LYNCH FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNCH
Authorized Official - Suffix:
Authorized Official - Credentials:BBA, BHRS
Authorized Official - Phone:580-224-2929
Mailing Address - Street 1:333 W MAIN ST
Mailing Address - Street 2:SUITE 260
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-6326
Mailing Address - Country:US
Mailing Address - Phone:580-224-2929
Mailing Address - Fax:866-777-7906
Practice Address - Street 1:333 W MAIN ST
Practice Address - Street 2:SUITE 260
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-6326
Practice Address - Country:US
Practice Address - Phone:580-224-2929
Practice Address - Fax:866-777-7906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-26
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)