Provider Demographics
NPI:1891311429
Name:GORDON-CHOIX, LYNNE JUDITH (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:JUDITH
Last Name:GORDON-CHOIX
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:LYNNE
Other - Middle Name:JUDITH
Other - Last Name:GORDON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:315 CENTRAL PARK WEST
Mailing Address - Street 2:APT 7N
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025
Mailing Address - Country:US
Mailing Address - Phone:917-215-1629
Mailing Address - Fax:
Practice Address - Street 1:5 WEST 86TH STREET
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024
Practice Address - Country:US
Practice Address - Phone:917-215-1629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2020-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008205-01101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty