Provider Demographics
NPI:1710029202
Name:MCBAIN, LYNDA B (LMHC CAP CAPP)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:B
Last Name:MCBAIN
Suffix:
Gender:F
Credentials:LMHC CAP CAPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 N EL MAR DR A203
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-2570
Mailing Address - Country:US
Mailing Address - Phone:772-229-8442
Mailing Address - Fax:
Practice Address - Street 1:2806 US1 SUITE C5
Practice Address - Street 2:NEW HORIZONS OF THETREASURE COAST
Practice Address - City:FT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-467-3052
Practice Address - Fax:772-429-2165
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCERTIFICATION #2203101YA0400X
FLCERTIFICATION #890101YA0400X
FLMH8049101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health