Provider Demographics
NPI:1336395441
Name:HARRIS, LYNNE H (LPC, LMHC, LMFT, ATR)
Entity Type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:H
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LPC, LMHC, LMFT, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 HAMLET CIR
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-2517
Mailing Address - Country:US
Mailing Address - Phone:703-581-9264
Mailing Address - Fax:
Practice Address - Street 1:106 HAMLET CIR
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-2517
Practice Address - Country:US
Practice Address - Phone:703-581-9264
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-09
Last Update Date:2022-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH15994101YM0800X
GALPC008427101YP2500X
VA0701004410101YP2500X
FLMT4369106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMH15994OtherBOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, AND MENTAL HEALTH COUN
FLMT4369OtherBOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY, MENTAL HEALTH COUNSELI
VA0701004410OtherDEPARTMENT OF HEALTH PROFESSIONALS
GALPC008427OtherBOARD OF PROFESSIONAL COUNSELORS, SOCIAL WORKERS AND MARRIAGE AND FAMILY THERAPI