Provider Demographics
NPI:1649729286
Name:GUFFIE, LYNNAE DAWN (LMSW)
Entity type:Individual
Prefix:MRS
First Name:LYNNAE
Middle Name:DAWN
Last Name:GUFFIE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:705 GLADSTONE DR SE
Mailing Address - Street 2:
Mailing Address - City:EAST GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49506-2820
Mailing Address - Country:US
Mailing Address - Phone:616-430-1866
Mailing Address - Fax:
Practice Address - Street 1:705 GLADSTONE DR SE
Practice Address - Street 2:
Practice Address - City:EAST GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-2820
Practice Address - Country:US
Practice Address - Phone:616-430-1866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-23
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011001351041C0700X
MI68011147941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical