Provider Demographics
NPI:1649563776
Name:LMG RESOURCES, INC.
Entity Type:Organization
Organization Name:LMG RESOURCES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:MAXINE
Authorized Official - Last Name:GANTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, MFT
Authorized Official - Phone:805-922-1093
Mailing Address - Street 1:301 E COOK ST
Mailing Address - Street 2:SUITE K
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-5141
Mailing Address - Country:US
Mailing Address - Phone:805-922-1093
Mailing Address - Fax:805-922-6777
Practice Address - Street 1:301 E COOK ST
Practice Address - Street 2:SUITE K
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-5141
Practice Address - Country:US
Practice Address - Phone:805-922-1093
Practice Address - Fax:805-922-6777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC27809106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty