Provider Demographics
NPI:1649381591
Name:BECK, LYNN WEBB (LPC)
Entity Type:Individual
Prefix:
First Name:LYNN
Middle Name:WEBB
Last Name:BECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3100 HEATHSTEAD PL
Mailing Address - Street 2:APT. H
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-7138
Mailing Address - Country:US
Mailing Address - Phone:980-395-9310
Mailing Address - Fax:980-321-7027
Practice Address - Street 1:5200 PARK RD
Practice Address - Street 2:SUITE 111
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28209-3650
Practice Address - Country:US
Practice Address - Phone:980-395-9310
Practice Address - Fax:980-321-7027
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC3594101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102530Medicaid