Provider Demographics
NPI:1760781421
Name:LYNDA PERRY FAMILY CONSULTING, LLC
Entity Type:Organization
Organization Name:LYNDA PERRY FAMILY CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LIMHP
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:M S
Authorized Official - Phone:308-530-3904
Mailing Address - Street 1:410 SEAGULL DR
Mailing Address - Street 2:
Mailing Address - City:NORTH PLATTE
Mailing Address - State:NE
Mailing Address - Zip Code:69101-8910
Mailing Address - Country:US
Mailing Address - Phone:308-530-3904
Mailing Address - Fax:
Practice Address - Street 1:102 MCNEEL LN
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-6000
Practice Address - Country:US
Practice Address - Phone:308-532-0777
Practice Address - Fax:308-532-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-21
Last Update Date:2011-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE798101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty