Provider Demographics
NPI:1619624210
Name:ALFARONE, LYNNE (LMHC)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:ALFARONE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 E 40TH ST APT 21B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-2024
Mailing Address - Country:US
Mailing Address - Phone:917-399-4852
Mailing Address - Fax:
Practice Address - Street 1:305 E 40TH ST APT 21B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-2024
Practice Address - Country:US
Practice Address - Phone:917-399-4852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011772-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health