Provider Demographics
NPI:1942869045
Name:DURAND, LYNDA NORA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:NORA
Last Name:DURAND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:L. NORA
Other - Middle Name:
Other - Last Name:DURAND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 384
Mailing Address - Street 2:
Mailing Address - City:LYNBROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11563-0384
Mailing Address - Country:US
Mailing Address - Phone:917-300-8353
Mailing Address - Fax:
Practice Address - Street 1:12501 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:KEW GARDENS
Practice Address - State:NY
Practice Address - Zip Code:11415-1520
Practice Address - Country:US
Practice Address - Phone:929-218-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH13075101YM0800X
NY007575101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty