Provider Demographics
NPI:1619599792
Name:LYNN M. MCLEAN, LCSW LLC
Entity Type:Organization
Organization Name:LYNN M. MCLEAN, LCSW LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-S
Authorized Official - Phone:713-669-0211
Mailing Address - Street 1:4949 CAROLINE ST BLDG B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-5701
Mailing Address - Country:US
Mailing Address - Phone:713-669-0211
Mailing Address - Fax:
Practice Address - Street 1:4949 CAROLINE ST BLDG B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-5701
Practice Address - Country:US
Practice Address - Phone:713-936-0633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty