Provider Demographics
NPI:1811325004
Name:DURBIN, LYNNE (LMHC)
Entity type:Individual
Prefix:
First Name:LYNNE
Middle Name:
Last Name:DURBIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 W WINDWARD WAY
Mailing Address - Street 2:#206
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-8001
Mailing Address - Country:US
Mailing Address - Phone:561-254-0153
Mailing Address - Fax:
Practice Address - Street 1:818 US HIGHWAY 1
Practice Address - Street 2:SUITE 8
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-3831
Practice Address - Country:US
Practice Address - Phone:561-254-0153
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH6343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health