Provider Demographics
NPI:1912207861
Name:HARTMANN, LYNNE M (NCC, LPC)
Entity Type:Individual
Prefix:
First Name:LYNNE
Middle Name:M
Last Name:HARTMANN
Suffix:
Gender:F
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1009 CARNATION ST
Mailing Address - Street 2:SUITE F
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70460-1900
Mailing Address - Country:US
Mailing Address - Phone:504-701-6733
Mailing Address - Fax:
Practice Address - Street 1:1009 CARNATION ST
Practice Address - Street 2:SUITE F
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70460-1900
Practice Address - Country:US
Practice Address - Phone:504-701-6733
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4790101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional