Provider Demographics
NPI:1720740046
Name:POMEROY, LYNN A III (LMHC(I))
Entity Type:Individual
Prefix:MR
First Name:LYNN
Middle Name:A
Last Name:POMEROY
Suffix:III
Gender:M
Credentials:LMHC(I)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7138 LAKE WORTH RD STE D
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-2970
Mailing Address - Country:US
Mailing Address - Phone:561-288-0377
Mailing Address - Fax:561-423-3900
Practice Address - Street 1:7138 LAKE WORTH RD STE D
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2970
Practice Address - Country:US
Practice Address - Phone:561-288-0377
Practice Address - Fax:561-423-3900
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH21658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health